Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HALEY KOPKAU JANIS MD
NPI 1104305911
Family Medicine in Gaylord, MI

Q: What is Haley Kopkau Janis's NPI number?

The NPI number for Haley Kopkau Janis is 1104305911. It was assigned to this individual provider in the NPPES registry on August 13, 2018. The provider is also known as Haley Kopkau MD.

Q: What is Haley Kopkau Janis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 13, 2018PECOS Enrolled

829 N CENTER AVE STE 210, GAYLORD, MI 49735(989) 731-7860(989) 731-7833 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, Jun 5, 2026, Feb 5, 2026 and 4 more (7 updates tracked since 2018).

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About Dr. Haley Kopkau Janis Md NPPES

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

DR. HALEY KOPKAU JANIS MD (NPI 1104305911) is an individual family medicine provider in Gaylord, Michigan, licensed in Michigan (4351050785) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Central Michigan College Of Medicine (2026).

NPPES Registry Identity

NPI1104305911

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HALEY KOPKAU JANISCredential: MD

Location Address829 N CENTER AVE STE 210Gaylord, MI 49735-1599

Mailing Address829 N Center Ave Ste 266Gaylord, MI 49735-1595 · (989) 731-7860

Phone(989) 731-7860

Fax(989) 731-7833

Sole ProprietorNo

Medical School CMSCentral Michigan College Of MedicineGraduated 2026

Enumeration DateAugust 13, 2018

Last NPPES UpdateJuly 16, 20267 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1104305911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4351050785

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

829 N CENTER AVE STE 210, Gaylord, MI 49735

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Other Names 1

Former Name (1)Haley Kopkau Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Haley Kopkau Janis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345705547

PECOS Enrollment IDI20260717003516

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.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

Other Providers at the Same Location NPPES 6

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

LAUREN ATKINSON NP

Nurse Practitioner (Family)