NICHOLUS KOPACKI PA
NPI 1417112004
Physician Assistant - Medical in Grand Rapids, MI
About Nicholus Kopacki Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLUS KOPACKI PA (NPI 1417112004) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601005277) and active in the NPI registry since July 2008.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Nicholus Kopacki's NPI number?
The NPI number for Nicholus Kopacki is 1417112004. It was assigned to this individual provider in the NPPES registry on July 23, 2008.
Where is Nicholus Kopacki located?
Nicholus Kopacki practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (800) 968-6866.
What is Nicholus Kopacki's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
What insurance does Nicholus Kopacki accept?
Health plans from Priority Health list Nicholus Kopacki 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.
When was this NPI record last updated?
The NPPES record for Nicholus Kopacki was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Nicholus Kopacki, PA · NPI 1417112004
Medical physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1417112004 (Entity type: Individual)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5601005277 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (800) 968-6866
## Record status
- **NPPES last updated:** July 23, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1417112004) · Data from the CMS NPPES public registry.