KERRI LYNN KOPCZUK P.A.
NPI 1639481070
Physician Assistant - Surgical in Montvale, NJ

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
50 CRAIG RD, MONTVALE, NJ 07645(888) 636-7840(267) 479-1321 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerri Lynn Kopczuk P.a. NPPES

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

KERRI LYNN KOPCZUK P.A. (NPI 1639481070) is an individual surgical provider in Montvale, New Jersey, licensed in New York (014031) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1639481070
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKERRI LYNN KOPCZUKCredential: P.A.
Location Address50 CRAIG RDMontvale, NJ 07645-1709
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (609) 677-7003 · Fax (267) 339-3761
Fax(267) 479-1321
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 13, 2010
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
NPI 1639481070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 014031
Also ListedPhysician AssistantTaxonomy 363A00000X · License 014031 (NY)
50 CRAIG RD, Montvale, NJ 07645

Other Names 1

Former Name (1)Kerri Lynn Michella

Other Identifiers 1

Medicaid03280100NY

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

Kerri Lynn Kopczuk P.a. 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 ID1052503703
PECOS Enrollment IDI20180911003639
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
46 services23 patients
Relocation of tendon of forearm and/or wrist 25310
Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.
19 services18 patients
Removal of bone joints between wrist and fingers 25447
This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.
16 services16 patients
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609
This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.57
Promoting Interoperability99
Improvement Activities40
Cost91.05

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
50 CRAIG RD
MONTVALE, NJ 07645

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 Kerri Kopczuk's NPI number?

The NPI number for Kerri Kopczuk is 1639481070. It was assigned to this individual provider in the NPPES registry on July 13, 2010. The provider is also known as Kerri Lynn Michella.

Where is Kerri Kopczuk located?

Kerri Kopczuk practices at 50 Craig Rd, Montvale, NJ 07645. The listed phone number is (888) 636-7840.

What is Kerri Kopczuk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kerri Kopczuk enrolled in Medicare?

Yes. Kerri Kopczuk 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.

Is Kerri Kopczuk affiliated with any hospitals?

According to CMS data, Kerri Kopczuk is affiliated with Hackensack University Medical Center and Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kerri Kopczuk was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.