EDAN LEIGH KOOPMAN OT
NPI 1093943953
Occupational Therapist in Antioch, IL
About Edan Leigh Koopman Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDAN LEIGH KOOPMAN OT (NPI 1093943953) is an individual occupational therapist in Antioch, Illinois, licensed in Illinois (056008919) and active in the NPI registry since June 2009. She is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Edan Leigh Koopman Ot 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 Edan Koopman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin and Illinois enrollments
- Also billed through NPI 1821085028 (Illinois)
- 105 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.
Areas of Expertise CMS Part B claims 6
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.
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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edan Koopman's NPI number?
The NPI number for Edan Koopman is 1093943953. It was assigned to this individual provider in the NPPES registry on June 30, 2009.
Where is Edan Koopman located?
Edan Koopman practices at 1122 Main St, Antioch, IL 60002. The listed phone number is (847) 395-0321.
What is Edan Koopman's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Edan Koopman enrolled in Medicare?
Yes. Edan 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 Edan Koopman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edan Koopman reassigns Medicare benefits to Athletico Ltd (Milwaukee, WI). 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 Edan Koopman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edan Koopman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Edan 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.
When was this NPI record last updated?
The NPPES record for Edan Koopman was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.