MRS. CANDACE LYNN KOOPMAN APRN
NPI 1083022529
Nurse Practitioner in Florence, KY
About Mrs. Candace Lynn Koopman Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CANDACE LYNN KOOPMAN APRN (NPI 1083022529) is an individual nurse practitioner in Florence, Kentucky, licensed in Kentucky (3011668) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Mrs. Candace Lynn Koopman Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Candace Koopman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Erlanger, KY 41018
- Reassigned Medicare billing, Kentucky enrollment
- 946 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FLORENCE, KY 41042
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 Candace Koopman's NPI number?
The NPI number for Candace Koopman is 1083022529. It was assigned to this individual provider in the NPPES registry on July 29, 2014.
Where is Candace Koopman located?
Candace Koopman practices at 7370 Turfway Rd, Florence, KY 41042. The listed phone number is (859) 212-5125.
What is Candace Koopman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Candace Koopman enrolled in Medicare?
Yes. Candace Koopman 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 Candace Koopman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Koopman reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). 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 Candace Koopman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Candace Koopman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Candace Koopman 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 Candace Koopman affiliated with any hospitals?
According to CMS data, Candace Koopman is affiliated with St Elizabeth Edgewood and St Elizabeth Florence.
When was this NPI record last updated?
The NPPES record for Candace Koopman was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Candace Lynn Koopman, APRN · NPI 1083022529
Nurse Practitioner physician in Florence, Kentucky. Individual provider, active in the CMS NPPES registry since July 29, 2014.
## Identity
- **NPI:** 1083022529 (Entity type: Individual)
- **Enumerated:** July 29, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3011668 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 7370 TURFWAY RD, Florence, KY 41042-4895
- **Phone:** (859) 212-5125 · **Fax:** (859) 212-5099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Summit Medical Group, Inc (NPI 1508287640, Erlanger, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 0112132 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1083022529) · Data from the CMS NPPES public registry.