MARY COPPOLA
NPI 1386361871
Nurse Practitioner - Family in Flowood, MS

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment
215 KATHERINE DRIVE, SUITE A, FLOWOOD, MS 39232(601) 665-4162(855) 830-3484 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2023, Oct 25, 2022 (2 updates tracked since 2022).

About Mary Coppola NPPES

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

MARY COPPOLA (NPI 1386361871) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (905500) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Magee General Hospital, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1386361871
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY COPPOLA
Location Address215 KATHERINE DRIVE, SUITE AFlowood, MS 39232-9588
Mailing Address200 Lakeview DrClinton, MS 39056-4436 · (315) 200-0197
Fax(855) 830-3484
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 25, 2022
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1386361871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 905500
215 KATHERINE DRIVE, Flowood, MS 39232

Secondary Practice Location 1

Location 1601 Highway 80 EClinton, MS 39056-5122 · Phone (601) 708-1480

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

Mary Coppola 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 ID7618348749
PECOS Enrollment IDI20230126003401
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

3

Medicare enrollment records show Mary Coppola reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
215 KATHERINE DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
Primary Care
2860 MCDOWELL ROAD EXT
Jackson, MS 39204
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 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.

Hospital Affiliations CMS Care Compare 2

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

Magee General Hospital

Acute Care Hospitals · Magee, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250124
Location300 3rd Ave SEMagee, MS 39111 · Simpson County
Emergency services

Simpson General Hospital Cah

Critical Access Hospitals · Mendenhall, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251317
Location1842 Simpson Highway 149Mendenhall, MS 39114 · Simpson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 4

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

Nurse Practitioner (Primary Care)
215 KATHERINE DRIVE, SUITE A
FLOWOOD, MS 39232
Nurse Practitioner (Family)
215 KATHERINE DRIVE, SUITE A
FLOWOOD, MS 39232
Nurse Practitioner (Psychiatric/Mental Health)
215 KATHERINE DRIVE, SUITE A
FLOWOOD, MS 39232
Social Worker (Clinical)
215 KATHERINE DRIVE, SUITE A
FLOWOOD, MS 39232

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 Mary Coppola's NPI number?

The NPI number for Mary Coppola is 1386361871. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Mary Coppola located?

Mary Coppola practices at 215 Katherine Drive Suite A, Flowood, MS 39232. The listed phone number is (601) 665-4162.

What is Mary Coppola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Coppola enrolled in Medicare?

Yes. Mary Coppola 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 Mary Coppola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Coppola reassigns Medicare benefits to 3 organizations: Mdb Care Management LLC (Flowood, MS), Minor Med Care, LLC (Jackson, MS) and Uppal Medical Center LLC (Greenville, MS). 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 Mary Coppola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Coppola accept?

Health plans from UnitedHealthcare list Mary Coppola 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 Mary Coppola affiliated with any hospitals?

According to CMS data, Mary Coppola is affiliated with Magee General Hospital and Simpson General Hospital Cah.

When was this NPI record last updated?

The NPPES record for Mary Coppola was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.