KELLIE LYNN KOPP PA-C
NPI 1326462185
Physician Assistant - Surgical in Reno, NV

Q: What is Kellie Kopp's NPI number?

The NPI number for Kellie Kopp is 1326462185. It was assigned to this individual provider in the NPPES registry on February 13, 2014.

Q: What is Kellie Kopp's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Kopp was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 February 13, 2014PECOS Enrolled

555 N ARLINGTON AVE, RENO, NV 89503(775) 786-3040(757) 786-1358 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Apr 1, 2020, Dec 7, 2018 and 2 more (5 updates tracked since 2015).

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About Kellie Lynn Kopp Pa-c NPPES

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

KELLIE LYNN KOPP PA-C (NPI 1326462185) is an individual surgical provider in Reno, Nevada, licensed in Nevada (PA1666) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326462185

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKELLIE LYNN KOPPCredential: PA-C

Location Address555 N ARLINGTON AVEReno, NV 89503-4723

Mailing Address555 N Arlington AveReno, NV 89503-4723 · (775) 786-3040 · Fax (757) 786-1358

Phone(775) 786-3040

Fax(757) 786-1358

Sole ProprietorYes

Enumeration DateFebruary 13, 2014

Last NPPES UpdateJanuary 11, 20215 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2021

✔ NPI 1326462185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NV · PA1666

555 N ARLINGTON AVE, Reno, NV 89503

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Other Identifiers 2

Other12658284Caqh

Medicaid1326462185NV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Lynn Kopp Pa-c 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.

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.

ALEXIS JANE ERLACH APRN

Nurse Practitioner (Family)