Individual provider Active NPI

Christine Helen Kopel, PA C

  • Physician Assistant
  • Hartland, MI
National Provider Identifier
1932248077
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002895 Issued in MI
Practice address
11150 Highland Rd
Hartland, MI 48353
Phone
(810) 632-6380
Fax
(810) 632-6601
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002895 MI Primary

Addresses

Primary practice location

11150 Highland Rd
Hartland, MI 48353

Mailing address

11150 Highland Rd
Hartland, MI 48353
Phone (810) 632-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116001527 MI Practitioner - Physician Assistant 2062823487 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

1225 S Latson Rd
380 Rebecca Studinger MD
Howell, MI 48843-7643
Phone (248) 662-4450

3333 Spring Arbor Rd
Jackson, MI 49203-8605
Phone (517) 782-0057

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601002895MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Jun 1, 2024 Accepting new patients

Locations

1225 S Latson Rd
Ste 260
Howell, MI 48843
Phone (517) 541-4444

3333 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 629-5581

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1932248077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-6380",
            "fax_number": "810-632-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "48353",
            "telephone_number": "810-632-6380",
            "fax_number": "810-632-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEL",
        "first_name": "CHRISTINE",
        "middle_name": "HELEN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

Verify at the official NPI Registry.