STACEY COPPERSMITH
NPI 1336537711
Physician Assistant - Medical in North Platte, NE

Active since January 07, 2015PECOS EnrolledAccepts Medicare Assignment
500 W LEOTA ST, SUITE 100, NORTH PLATTE, NE 69101(308) 534-4440(308) 534-7675 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Coppersmith NPPES

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

STACEY COPPERSMITH (NPI 1336537711) is an individual medical provider in North Platte, Nebraska and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2014).

NPPES Registry Identity

NPI1336537711
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACEY COPPERSMITH
Location Address500 W LEOTA ST, SUITE 100North Platte, NE 69101-6576
Mailing Address500 W Leota St, Suite 100North Platte, NE 69101-6576 · (308) 534-4440 · Fax (308) 534-7675
Fax(308) 534-7675
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2014
Enumeration DateJanuary 7, 2015
Last NPPES UpdateOctober 21, 2015
NPI 1336537711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
500 W LEOTA ST, North Platte, NE 69101

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 and accepts Medicare assignment

Stacey Coppersmith 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 ID2466777461
PECOS Enrollment IDI20150216001031
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 17

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.
478 services244 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.
161 services110 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
124 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
120 services120 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
70 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims51 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims12 services$0.94 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$41.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$119.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims35 services$40.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims74 services$2.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
500 W LEOTA ST, SUITE 100
NORTH PLATTE, NE 69101
Clinic/Center (Sleep Disorder Diagnostic)
500 W LEOTA ST, SUITE 250
NORTH PLATTE, NE 69101
Pathology (Clinical Pathology/Laboratory Medicine)
500 W LEOTA ST
NORTH PLATTE, NE 69101
Internal Medicine
500 W LEOTA ST, STE 100
NORTH PLATTE, NE 69101
Internal Medicine (Rheumatology)
500 W LEOTA ST, SUITE 100
NORTH PLATTE, NE 69101
Pathology (Anatomic Pathology & Clinical Pathology)
500 W LEOTA ST
NORTH PLATTE, NE 69101
Internal Medicine (Rheumatology)
500 W LEOTA ST
NORTH PLATTE, NE 69101
Physician Assistant (Medical)
500 W LEOTA ST, SUITE 150
NORTH PLATTE, NE 69101

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 Stacey Coppersmith's NPI number?

The NPI number for Stacey Coppersmith is 1336537711. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

Where is Stacey Coppersmith located?

Stacey Coppersmith practices at 500 W Leota St Suite 100, North Platte, NE 69101. The listed phone number is (308) 534-4440.

What is Stacey Coppersmith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Coppersmith enrolled in Medicare?

Yes. Stacey Coppersmith 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.

What insurance does Stacey Coppersmith accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Stacey Coppersmith 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.

Is Stacey Coppersmith affiliated with any hospitals?

According to CMS data, Stacey Coppersmith is affiliated with The Nebraska Medical Center and Great Plains Health.

When was this NPI record last updated?

The NPPES record for Stacey Coppersmith was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.