MIA JASMINE COPELAND-BROCK APRN
NPI 1174246128
Nurse Practitioner - Psychiatric/Mental Health in Medway, MA

Active since September 23, 2022PECOS Enrolled
165 MAIN ST, MEDWAY, MA 02053(508) 321-3210(508) 321-3210 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Dec 13, 2022, Sep 23, 2022 (3 updates tracked since 2022).

About Mia Jasmine Copeland-brock Aprn NPPES

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

MIA JASMINE COPELAND-BROCK APRN (NPI 1174246128) is an individual psychiatric/mental health provider in Medway, Massachusetts, licensed in Massachusetts (RN2313693) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174246128
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIA JASMINE COPELAND-BROCKCredential: APRN
Location Address165 MAIN STMedway, MA 02053-1584
Mailing Address417 Liberty StSpringfield, MA 01104-3736 · (413) 246-9675
Fax(508) 321-3210
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1174246128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2313693
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2313693 (MA)
165 MAIN ST, Medway, MA 02053

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mia Jasmine Copeland-brock Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02053 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Physical Therapist (Orthopedic)
165 MAIN ST
MEDWAY, MA 02053
Social Worker (Clinical)
165 MAIN ST, SUITE 106
MEDWAY, MA 02053
Psychologist
165 MAIN ST, UNIT 110
MEDWAY, MA 02053
Psychologist
165 MAIN ST, SUITE 106
MEDWAY, MA 02053
Social Worker (Clinical)
165 MAIN ST, SUITE 213
MEDWAY, MA 02053
Psychologist
165 MAIN ST, SUITE 106
MEDWAY, MA 02053

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 Mia Copeland-brock's NPI number?

The NPI number for Mia Copeland-brock is 1174246128. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Mia Copeland-brock located?

Mia Copeland-brock practices at 165 Main St, Medway, MA 02053. The listed phone number is (508) 321-3210.

What is Mia Copeland-brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mia Copeland-brock enrolled in Medicare?

Yes. Mia Copeland-brock is registered in the Medicare PECOS enrollment system.

What insurance does Mia Copeland-brock accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mia Copeland-brock 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 Mia Copeland-brock was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.