GRIFFIN STALLARD KOPP CRNA
NPI 1073120754
Nurse Anesthetist, Certified Registered in North Conway, NH

Q: What is Griffin Kopp's NPI number?

The NPI number for Griffin Kopp is 1073120754. It was assigned to this individual provider in the NPPES registry on September 28, 2020.

Q: What is Griffin Kopp's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Griffin Kopp was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 28, 2020PECOS EnrolledAccepts Medicare Assignment

3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860(603) 356-4835(603) 356-2604 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2021, Sep 28, 2020 (2 updates tracked since 2020).

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About Griffin Stallard Kopp Crna NPPES

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

GRIFFIN STALLARD KOPP CRNA (NPI 1073120754) is an individual nurse anesthetist, certified registered in North Conway, New Hampshire, licensed in New Hampshire (114103-23) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, The, and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1073120754

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGRIFFIN STALLARD KOPPCredential: CRNA

Location Address3073 WHITE MOUNTAIN HWYNorth Conway, NH 03860-7101

Mailing Address3073 White Mountain HwyNorth Conway, NH 03860-7101 · (603) 356-4835 · Fax (603) 356-2604

Phone(603) 356-4835

Fax(603) 356-2604

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 28, 2020

Last NPPES UpdateMay 1, 20252 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1073120754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in NH · 114103-23✔ Licensed in IA · D-161938

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 0001237895 (VA)

3073 WHITE MOUNTAIN HWY, North Conway, NH 03860

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Secondary Practice Location 1

Location 1712 W Main StManchester, IA 52057-1525 · Phone (563) 822-1435 · Fax (563) 822-1436

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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

Griffin Stallard Kopp Crna 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 ID7315351566

PECOS Enrollment IDI20250623003940

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 Reassignments

Medicare enrollment records show Griffin Kopp reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hospital

Same address

Critical Access

3073 WHITE MOUNTAIN HWY
North Conway, NH 03860

Reassigned Medicare billing, New Hampshire enrollment
173 clinicians in this Medicare group

NPI 1700864709 (603) 356-5461

Delaware County Memorial Hospital

1,028 mi

Mental Health (Including Community Mental Health Center)

709 W MAIN ST
Manchester, IA 52057

Reassigned Medicare billing, Iowa enrollment
169 clinicians in this Medicare group

NPI 1982667929 (563) 927-7330

People's Memorial Hospital

1,049 mi

Critical Access

1600 1ST ST E
Independence, IA 50644

Reassigned Medicare billing, Iowa enrollment
Medicare enrollment name: Peoples Memorial Hospital
91 clinicians in this Medicare group

NPI 1265595144 (319) 332-0999

Sumner Community Club

1,054 mi

Family Medicine

909 W 1ST ST
Sumner, IA 50674

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1366442295 (Iowa), NPI 1780684548 (Iowa)
41 clinicians in this Medicare group

NPI 1801818661 (563) 578-5375

Waverly Health Center

1,075 mi

Nurse Anesthetist, Certified Registered

312 9TH ST SW
Waverly, IA 50677

Reassigned Medicare billing, Iowa enrollment
38 clinicians in this Medicare group

NPI 1033125463 (319) 352-4120

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 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.

47 services39 patients

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.

26 services20 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.

17 services16 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

13 services11 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301307

Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03860 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$71.85 typical visit price

range $18.70 – $142.15

Typical copayment $17.96 (range $4.67 – $35.53)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY S. MACDERMOTT APRN

Nurse Practitioner (Family)