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TONIA MARIE COPSEY CNP
NPI 1033550538
Nurse Practitioner - Adult Health in Port Clinton, OH

Active since July 12, 2013PECOS EnrolledAccepts Medicare Assignment
MAGRUDER WOUND HEALING CENTER, 611 FULTON ST. STE. E, PORT CLINTON, OH 43452(419) 301-4380(419) 732-1010 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2024, Jul 2, 2019 (2 updates tracked since 2019).

About Tonia Marie Copsey Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONIA MARIE COPSEY CNP (NPI 1033550538) is an individual adult health provider in Port Clinton, Ohio, licensed in Ohio (RN297428-COA1) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Magruder Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033550538
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTONIA MARIE COPSEYCredential: CNP
Location AddressMAGRUDER WOUND HEALING CENTER, 611 FULTON ST. STE. EPort Clinton, OH 43452
Mailing Address1111 Hayes AveSandusky, OH 44870-3323 · (419) 557-7893
Phone(419) 301-4380
Fax(419) 732-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2013
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
✔ NPI 1033550538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · RN297428-COA1
MAGRUDER WOUND HEALING CENTER, Port Clinton, OH 43452
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonia Marie Copsey Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183866742
PECOS Enrollment IDI20130809000525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tonia Copsey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

H.B. Magruder Memorial Hospital
7.1 mi
Critical Access
615 FULTON ST
Port Clinton, OH 43452
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1922079532 (419) 734-3131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services102 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
125 services73 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services77 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
76 services34 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
20 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims154 services$29.78 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims192 services$7.08 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers32 claims433 services$9.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonia Copsey's NPI number?

The NPI number for Tonia Copsey is 1033550538. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Tonia Copsey located?

Tonia Copsey practices at Magruder Wound Healing Center 611 Fulton St. Ste. E, Port Clinton, OH 43452. The listed phone number is (419) 301-4380.

What is Tonia Copsey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tonia Copsey enrolled in Medicare?

Yes. Tonia Copsey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tonia Copsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonia Copsey reassigns Medicare benefits to H.B. Magruder Memorial Hospital (Port Clinton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonia Copsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonia Copsey accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Tonia Copsey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonia Copsey affiliated with any hospitals?

According to CMS data, Tonia Copsey is affiliated with Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Tonia Copsey was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.