MRS. MARY JANE KOPAKOWSKI
NPI 1124132816
Nurse Practitioner in Haddon Heights, NJ

Q: What is Mary Kopakowski's NPI number?

The NPI number for Mary Kopakowski is 1124132816. It was assigned to this individual provider in the NPPES registry on August 18, 2006. The provider is also known as Mary Jane Appleby.

Q: What is Mary Kopakowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kopakowski was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

210 W ATLANTIC AVE, HADDON HEIGHTS, NJ 08035(856) 546-3003(856) 547-3178 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Mary Jane Kopakowski NPPES

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

MRS. MARY JANE KOPAKOWSKI (NPI 1124132816) is an individual nurse practitioner in Haddon Heights, New Jersey, licensed in New Jersey (26NJ00105300) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1124132816

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARY JANE KOPAKOWSKI

Location Address210 W ATLANTIC AVEHaddon Heights, NJ 08035-1715

Mailing Address120 White Horse Pike, Suite 112Haddon Heights, NJ 08035-1927 · (856) 546-3003 · Fax (856) 547-3178

Phone(856) 546-3003

Fax(856) 547-3178

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 18, 2006

Last NPPES UpdateOctober 31, 2007

✔ NPI 1124132816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ00105300

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

210 W ATLANTIC AVE, Haddon Heights, NJ 08035

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Other Names 1

Former Name (1)Mary Jane Appleby

Other Identifiers 2

Medicare UPINQ67166NJ

Medicare PIN099849BDGNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Jane Kopakowski 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 ID244249027

PECOS Enrollment IDI20060406000575

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08035 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

JOANNE R SAMUEL

Nurse Practitioner