AVERY KOPACZ MD
NPI 1437805264
General Practice in Tacoma, WA

Q: What is Avery Kopacz's NPI number?

The NPI number for Avery Kopacz is 1437805264. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Q: What is Avery Kopacz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Kopacz was last updated on October 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2022PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1420 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2023, Mar 2, 2022 (2 updates tracked since 2022).

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About Avery Kopacz Md NPPES

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

AVERY KOPACZ MD (NPI 1437805264) is an individual general practice provider in Tacoma, Washington, licensed in Nebraska (36007) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437805264

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameAVERY KOPACZCredential: MD

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1420

Phone(253) 968-1420

Sole ProprietorNo

Enumeration DateMarch 2, 2022

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1437805264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NE · 36007

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Kopacz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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