NICHOLUS KOPACKI PA
NPI 1417112004
Physician Assistant - Medical in Grand Rapids, MI

Active since July 23, 2008
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(800) 968-6866 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1417112004
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLUS KOPACKICredential: PA
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing AddressPo Box QGrand Rapids, MI 49501-4917 · (800) 968-6866
Sole ProprietorNo
Enumeration DateJuly 23, 2008
NPI 1417112004 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
License Licensed in MI · 5601005277
200 JEFFERSON AVE SE, Grand Rapids, MI 49503

Accepted Insurance

Reviews for NICHOLUS KOPACKI PA

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
200 JEFFERSON AVE SE, ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pharmacist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pharmacist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse (Emergency)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Family Medicine (Geriatric Medicine)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant
200 JEFFERSON AVE SE, 6 SOUTH #626
GRAND RAPIDS, MI 49503
Internal Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Internal Medicine (Geriatric Medicine)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant
200 JEFFERSON AVE SE, 6 SOUTH #626
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417112004, enumerated as an "individual" on July 23, 2008.

The provider is located at 200 JEFFERSON AVE SE GRAND RAPIDS, MI 49503 and the phone number is (800) 968-6866.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.