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ALYSSA NICOLE KOOPAL PA
NPI 1497221089
Physician Assistant in Albany, GA

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
1712A E BROAD AVE, ALBANY, GA 31705(229) 639-3100 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2022, Jul 29, 2021, Oct 22, 2018 (3 updates tracked since 2018).

About Alyssa Nicole Koopal Pa NPPES

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

ALYSSA NICOLE KOOPAL PA (NPI 1497221089) is an individual physician assistant in Albany, Georgia, licensed in Georgia (9443) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497221089
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA NICOLE KOOPALCredential: PA
Location Address1712A E BROAD AVEAlbany, GA 31705-2611
Mailing Address142 Plantation DrLeesburg, GA 31763-4284 · (310) 650-2839
Phone(229) 639-3100
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 22, 2018
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1497221089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 9443
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1712A E BROAD AVE, Albany, GA 31705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Nicole Koopal Pa 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 ID547696106
PECOS Enrollment IDI20200130002372
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31705 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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

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

YOONHA KIM
Physician Assistant
1712A E BROAD AVE
ALBANY, GA 31705
Dougherty County (229) 759-6508

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 Alyssa Koopal's NPI number?

The NPI number for Alyssa Koopal is 1497221089. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Alyssa Koopal located?

Alyssa Koopal practices at 1712A E Broad Ave, Albany, GA 31705. The listed phone number is (229) 639-3100.

What is Alyssa Koopal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Koopal enrolled in Medicare?

Yes. Alyssa Koopal 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.

What insurance does Alyssa Koopal accept?

Health plans from Alliant Health Plans, Inc. list Alyssa Koopal 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 Alyssa Koopal was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.