DEBRA M KOOPMAN MS, PMHNP-BC
NPI 1326325945
Nurse Practitioner - Psychiatric/Mental Health in Marlborough, MA

Q: What is Debra Koopman's NPI number?

The NPI number for Debra Koopman is 1326325945. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Q: What is Debra Koopman's specialty?

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

Q: Is Debra Koopman enrolled in Medicare?

No. Debra Koopman has opted out of Medicare through May 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Debra Koopman was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 10, 2011Opted out of Medicare · through May 11, 2028

11 APEX DR STE 300A, MARLBOROUGH, MA 01752(508) 413-6559(508) 213-3994 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 14, 2026, Oct 2, 2023, Mar 3, 2022 (3 updates tracked since 2022).

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About Debra M Koopman Ms, Pmhnp-bc NPPES

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

DEBRA M KOOPMAN MS, PMHNP-BC (NPI 1326325945) is an individual psychiatric/mental health provider in Marlborough, Massachusetts, licensed in Massachusetts (RN2264988) and active in the NPI registry since November 2011. She has opted out of Medicare through May 11, 2028 and remains eligible to order and refer and is a graduate of Other (2011).

NPPES Registry Identity

NPI1326325945

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDEBRA M KOOPMANCredential: MS, PMHNP-BC

Location Address11 APEX DR STE 300AMarlborough, MA 01752-1977

Mailing Address11 Apex Dr Ste 300aMarlborough, MA 01752-1977 · (508) 413-6559 · Fax (508) 213-3994

Phone(508) 413-6559

Fax(508) 213-3994

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 10, 2011

Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1326325945 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

Licenses✔ Licensed in MA · RN2264988✔ Licensed in MA · MK2499867

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License RN2264988 (MA)

11 APEX DR STE 300A, Marlborough, MA 01752

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Debra M Koopman Ms, Pmhnp-bc 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 May 11, 2026 through May 11, 2028.

Opt-Out Effective DateMay 11, 2026

Opt-Out In Effect ThroughMay 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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.

100 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

85 services29 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

81 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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 20

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

CMG PSYCHIATRIC CARE, PLLC

Nurse Practitioner (Psychiatric/Mental Health)