DR. JACQUELINE K KOPPERS PSYD, LP
NPI 1376688374
Psychologist - Clinical in Irvine, CA
About Dr. Jacqueline K Koppers Psyd, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE K KOPPERS PSYD, LP (NPI 1376688374) is an individual clinical provider in Irvine, California, licensed in California (20514) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Jacqueline K Koppers Psyd, Lp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Koppers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Ana, CA 92705
- Reassigned Medicare billing, California enrollment
- 87 clinicians in this Medicare group
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
IRVINE, CA 92604
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 Jacqueline Koppers's NPI number?
The NPI number for Jacqueline Koppers is 1376688374. It was assigned to this individual provider in the NPPES registry on February 20, 2007. The provider is also known as Jacqueline Kristine Koppers.
Where is Jacqueline Koppers located?
Jacqueline Koppers practices at 4040 Barranca Pkwy Ste 260, Irvine, CA 92604. The listed phone number is (925) 282-1778.
What is Jacqueline Koppers's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jacqueline Koppers enrolled in Medicare?
Yes. Jacqueline Koppers 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 Jacqueline Koppers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Koppers reassigns Medicare benefits to 2 organizations: Cognitive Care Solutions Group Inc (Santa Ana, CA) and Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Jacqueline Koppers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Koppers was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Jacqueline K Koppers, PSYD, LP · NPI 1376688374
Clinical provider in Irvine, California. Individual provider, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1376688374 (Entity type: Individual)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 20514 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4040 BARRANCA PKWY STE 260, Irvine, CA 92604-4780
- **Phone:** (925) 282-1778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cognitive Care Solutions Group Inc (NPI 1548614183, Santa Ana, CA); Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376688374) · Data from the CMS NPPES public registry.