KERRIE KOPICKO DO
NPI 1790531473
Student in an Organized Health Care Education/Training Program in Madison Heights, MI

Q: What is Kerrie Kopicko's NPI number?

The NPI number for Kerrie Kopicko is 1790531473. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Kerrie Kopicko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kerrie Kopicko was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 24, 2024PECOS Enrolled

27483 DEQUINDRE RD STE 301, MADISON HEIGHTS, MI 48071(248) 546-2600(248) 546-2604 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Apr 24, 2024 (2 updates tracked since 2024).

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About Kerrie Kopicko Do NPPES

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

KERRIE KOPICKO DO (NPI 1790531473) is an individual student in an organized health care education/training program in Madison Heights, Michigan, licensed in Michigan (5151016938) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790531473

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKERRIE KOPICKOCredential: DO

Location Address27483 DEQUINDRE RD STE 301Madison Heights, MI 48071-5715

Mailing Address29120 Glenarden StFarmington Hills, MI 48334-2732

Phone(248) 546-2600

Fax(248) 546-2604

Sole ProprietorYes

Enumeration DateApril 24, 2024

Last NPPES UpdateMay 15, 20242 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1790531473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151016938

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

27483 DEQUINDRE RD STE 301, Madison Heights, MI 48071

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerrie Kopicko Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 15

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

HANNAH TROYER

Surgery