KEITH KOPISCH APRN
NPI 1124684220
Nurse Practitioner - Family in Medina, OH

Q: What is Keith Kopisch's NPI number?

The NPI number for Keith Kopisch is 1124684220. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Q: What is Keith Kopisch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Kopisch was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment

1000 E WASHINGTON ST, MEDINA, OH 44256(330) 725-1000 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2020, May 14, 2019 (2 updates tracked since 2019).

On this page

About Keith Kopisch Aprn NPPES

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

KEITH KOPISCH APRN (NPI 1124684220) is an individual family provider in Medina, Ohio, licensed in Ohio (APRN.CNP.024656) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Medina Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124684220

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEITH KOPISCHCredential: APRN

Location Address1000 E WASHINGTON STMedina, OH 44256-2170

Mailing Address1000 E Washington StMedina, OH 44256-2170

Phone(330) 725-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 14, 2019

Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration

✔ NPI 1124684220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.024656

1000 E WASHINGTON ST, Medina, OH 44256

Open in Google Maps ↗

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

Keith Kopisch 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.

PECOS PAC ID5092141762

PECOS Enrollment IDI20200227000959

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

101 services96 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

56 services54 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Medina Hospital

Acute Care Hospitals · Medina, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360091

Location1000 East Washington StreetMedina, OH 44256 · Medina County

Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Leave this field empty

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.

MEDINA HOSPITAL

Pathology (Anatomic Pathology)