MRS. MARY KATE COPPEDGE RN,PMHNP-BC, MSN
NPI 1194057661
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Q: What is Mary Kate Coppedge's NPI number?

The NPI number for Mary Kate Coppedge is 1194057661. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Q: What is Mary Kate Coppedge's specialty?

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

Q: Is Mary Kate Coppedge enrolled in Medicare?

No. Mary Kate Coppedge has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 08, 2010Opted out of Medicare · through Jul 1, 2027

2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Mary Kate Coppedge Rn,pmhnp-bc, Msn NPPES

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

MRS. MARY KATE COPPEDGE RN,PMHNP-BC, MSN (NPI 1194057661) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (201050015NP) and active in the NPI registry since February 2010. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1194057661

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. MARY KATE COPPEDGECredential: RN,PMHNP-BC, MSN

Location Address2577 NE COURTNEY DRBend, OR 97701-7638

Mailing Address2577 Ne Courtney DrBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorYes

Enumeration DateFebruary 8, 2010

Last NPPES UpdateDecember 11, 2012

✔ NPI 1194057661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201050015NP

2577 NE COURTNEY DR, Bend, OR 97701

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mary Kate Coppedge Rn,pmhnp-bc, Msn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 WHITE

Counselor (Mental Health)