Individual provider Active NPI

Catherine Anne Kopischke, MS, PA-C

  • Physician Assistant
  • Apple Valley, MN
National Provider Identifier
1972720134
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11956 Issued in MN
Practice address
14800 Galaxie Ave Ste 305
Apple Valley, MN 55124-4530
Phone
(952) 432-1484
Fax
(952) 432-2328
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 11956 MN Primary

Addresses

Primary practice location

14800 Galaxie Ave Ste 305
Apple Valley, MN 55124-4530

Mailing address

4240 Park Glen Rd
St Louis Park, MN 55416-5427
Phone (612) 925-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151110002977 WI Practitioner - Physician Assistant 4789836883 Reassigns benefits to 1 organization
I20151112003160 MN Practitioner - Physician Assistant 4789836883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Clinic of Psychology IncGroup PAC ID 0749171320, 136 clinicians

Practice addresses (Care Compare)

14800 Galaxie Ave
Suite 305
Apple Valley, MN 55124-4530
Phone (952) 432-1484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
11956MNMDPhysician Assistant
2372MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Dec 28, 2015 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Dec 28, 2015 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Family Support Services Inc. Past Accepting new patients

Locations

6950 146th St W
Ste 100
Apple Valley, MN 55124
Phone (952) 432-1484

8290 University Ave NE
Ste 200
Fridley, MN 55432
Phone (763) 786-9543

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

2211 Vine St
Hudson, WI 54016
Phone (715) 386-1155

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1972720134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PARK GLEN RD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165427",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 GALAXIE AVE STE 305",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244530",
            "telephone_number": "952-432-1484",
            "fax_number": "952-432-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPISCHKE",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.