PORSCHE COPPIN FNP
NPI 1710556857
Nurse Practitioner - Family in Fayetteville, NC
About Porsche Coppin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORSCHE COPPIN FNP (NPI 1710556857) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5015481) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Porsche Coppin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Porsche Coppin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, NC 28314
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Matrix Occupational Health PC
- 55 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
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 Porsche Coppin's NPI number?
The NPI number for Porsche Coppin is 1710556857. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Porsche Coppin located?
Porsche Coppin practices at 522 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-7183.
What is Porsche Coppin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Porsche Coppin enrolled in Medicare?
Yes. Porsche Coppin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Porsche Coppin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Porsche Coppin reassigns Medicare benefits to Matrix Occupational Health P.C. (Fayetteville, NC). The 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 Porsche Coppin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Porsche Coppin was last updated on December 29, 2021. 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.
# Porsche Coppin, FNP · NPI 1710556857
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1710556857 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5015481 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 522 OWEN DR, Fayetteville, NC 28304-3432
- **Phone:** (910) 484-7183
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Matrix Occupational Health P.C. (NPI 1144279670, Fayetteville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710556857) · Data from the CMS NPPES public registry.