SUSAN M COPSETTA NP-C
NPI 1649672494
Nurse Practitioner in Winchester, VA

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
333 W CORK ST STE 100, WINCHESTER, VA 22601(540) 536-0518 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Aug 6, 2024, Jun 24, 2021 and 3 more (6 updates tracked since 2019).

About Susan M Copsetta Np-c NPPES

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

SUSAN M COPSETTA NP-C (NPI 1649672494) is an individual nurse practitioner in Winchester, Virginia, licensed in Virginia (0024172077) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warrenton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1649672494
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN M COPSETTACredential: NP-C
Location Address333 W CORK ST STE 100Winchester, VA 22601-3870
Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2888 · (540) 536-5100 · Fax (540) 536-0235
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
Last NPPES UpdateNovember 5, 20246 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1649672494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024172077
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0024172077 (VA)
333 W CORK ST STE 100, Winchester, VA 22601

Secondary Practice Location 1

Location 1493 Blackwell Rd Ste 305Warrenton, VA 20186-2628 · Phone (540) 341-1728

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan M Copsetta Np-c 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 ID1850613969
PECOS Enrollment IDI20141201000227
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Susan Copsetta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
525 AMHERST ST STE 104
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Pediatrics
1002 AMHERST ST STE C
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Pediatric Cardiology
629 CEDAR CREEK GRADE STE B
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 584 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Test to measure exhaled air for evaluation of lung function at rest 94690
This test, known as spirometry, measures how much and how quickly you can move air out of your lungs. It helps to assess lung function by determining the amount of airflow obstruction present. It's non-invasive and important for diagnosing respiratory conditions.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
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 3

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

Nurse Practitioner
333 W CORK ST STE 100
WINCHESTER, VA 22601
Internal Medicine
333 W CORK ST STE 100
WINCHESTER, VA 22601
Nurse Practitioner
333 W CORK ST STE 100
WINCHESTER, VA 22601

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 Susan Copsetta's NPI number?

The NPI number for Susan Copsetta is 1649672494. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Susan Copsetta located?

Susan Copsetta practices at 333 W Cork St Ste 100, Winchester, VA 22601. The listed phone number is (540) 536-0518.

What is Susan Copsetta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Susan Copsetta enrolled in Medicare?

Yes. Susan Copsetta 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.

Which organizations bill Medicare for Susan Copsetta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Copsetta reassigns Medicare benefits to 3 organizations: Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA) and Uva Community Health Medical Group, LLC (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Copsetta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Copsetta accept?

Health plans from CareSource and Oscar Health list Susan Copsetta 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 Susan Copsetta was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.