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JENNIFER ELAINE KOPNICK
NPI 1760292452
Nurse Practitioner - Psychiatric/Mental Health in Livonia, MI

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152(734) 462-3210 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Elaine Kopnick NPPES

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

JENNIFER ELAINE KOPNICK (NPI 1760292452) is an individual psychiatric/mental health provider in Livonia, Michigan, licensed in Michigan (4704318207) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterford, and is a graduate of University Of Michigan Medical School (2025).

NPPES Registry Identity

NPI1760292452
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER ELAINE KOPNICK
Location Address17177 N LAUREL PARK DR STE 131Livonia, MI 48152-3952
Mailing Address2911 Pontiac Lake RdWaterford, MI 48328-2681 · (951) 505-5465
Phone(734) 462-3210
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2025
Enumeration DateJanuary 13, 2025
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1760292452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704318207
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704318207 (MI)
17177 N LAUREL PARK DR STE 131, Livonia, MI 48152
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Secondary Practice Location 1

Location 12911 Pontiac Lake RdWaterford, MI 48328-2681 · Phone (951) 505-5465

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

Jennifer Elaine Kopnick 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 ID1850884586
PECOS Enrollment IDI20251202001716
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 48152 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 17

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

SHAYNA DANTO RDN
Dietitian, Registered
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
DANA DEVINE TLLP
Psychologist
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
SHANNAN LUSTIG
Social Worker (Clinical)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
JIWOONG HYUN PA-C
Physician Assistant
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
TRACY BOSANKO PMHNP
Registered Nurse (Psychiatric/Mental Health, Adult)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
DR. SAMUEL H WEDES MD
Psychiatry & Neurology (Psychiatry)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
SARAH BEAULIEU PMHNP-BC, FNP-C
Nurse Practitioner (Family)
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210
KEVIN LIVINGSTONE
Physician Assistant
17177 N LAUREL PARK DR STE 131
LIVONIA, MI 48152
Wayne County (734) 462-3210

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 Jennifer Kopnick's NPI number?

The NPI number for Jennifer Kopnick is 1760292452. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Jennifer Kopnick located?

Jennifer Kopnick practices at 17177 N Laurel Park Dr Ste 131, Livonia, MI 48152. The listed phone number is (734) 462-3210.

What is Jennifer Kopnick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Kopnick enrolled in Medicare?

Yes. Jennifer Kopnick 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kopnick was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.