BETSY SUE KOPLIN PMHNP
NPI 1306679873
Nurse Practitioner - Psychiatric/Mental Health in Norway, ME

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
8 PIKES HL, NORWAY, ME 04268(207) 744-6444(207) 743-6306 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Betsy Sue Koplin Pmhnp NPPES

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

BETSY SUE KOPLIN PMHNP (NPI 1306679873) is an individual psychiatric/mental health provider in Norway, Maine, licensed in Maine (CNP241396) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Conway, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306679873
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBETSY SUE KOPLINCredential: PMHNP
Location Address8 PIKES HLNorway, ME 04268-5340
Mailing Address8 Pikes HlNorway, ME 04268-5340 · (207) 744-6444 · Fax (207) 743-6306
Fax(207) 743-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1306679873 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
Licenses✔ Licensed in ME · CNP241396✔ Licensed in NH · 112207-23
8 PIKES HL, Norway, ME 04268

Secondary Practice Location 1

Location 13073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (603) 356-5472 · Fax (603) 356-9647

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Betsy Sue Koplin Pmhnp 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 ID5597297416
PECOS Enrollment IDI20241017000111, I20241017001679
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Betsy Koplin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
181 MAIN ST
Norway, ME 04268
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1346299815 (Maine)
  • 3,140 clinicians in this Medicare group
Obstetrics & Gynecology
3073 WHITE MOUNTAIN HWY
North Conway, NH 03860
  • Reassigned Medicare billing, New Hampshire enrollment
  • 173 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04268 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Clinic/Center (Rural Health)
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Family Medicine
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Nurse Practitioner (Family)
8 PIKES HL
NORWAY, ME 04268
Physician Assistant
8 PIKES HL
NORWAY, ME 04268

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 Betsy Koplin's NPI number?

The NPI number for Betsy Koplin is 1306679873. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Betsy Koplin located?

Betsy Koplin practices at 8 Pikes Hl, Norway, ME 04268. The listed phone number is (207) 744-6444.

What is Betsy Koplin's specialty?

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

Is Betsy Koplin enrolled in Medicare?

Yes. Betsy Koplin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Betsy Koplin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Koplin reassigns Medicare benefits to 2 organizations: Mainehealth (Norway, ME) and The Memorial Hospital (North Conway, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betsy Koplin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Koplin accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Betsy Koplin 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 Betsy Koplin was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.