MRS. SHELLY R COPPOCK CPNP
NPI 1881249431
Nurse Practitioner - Pediatrics in Falls Church, VA

Q: What is Shelly Coppock's NPI number?

The NPI number for Shelly Coppock is 1881249431. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Q: What is Shelly Coppock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Coppock was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 09, 2019PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Shelly R Coppock Cpnp NPPES

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

MRS. SHELLY R COPPOCK CPNP (NPI 1881249431) is an individual pediatrics provider in Falls Church, Virginia, licensed in Virginia (0024177977) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881249431

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. SHELLY R COPPOCKCredential: CPNP

Location Address3300 GALLOWS RDFalls Church, VA 22042-3307

Mailing Address2724 Omisol RdWoodbridge, VA 22192-3829 · (571) 220-4654

Phone(703) 776-4001

Sole ProprietorYes

Enumeration DateAugust 9, 2019

✔ NPI 1881249431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in VA · 0024177977

3300 GALLOWS RD, Falls Church, VA 22042

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Other Identifiers 1

Other0024177977VA · Nurse Practitioner

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shelly R Coppock Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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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.

ALLISON ELIZABETH TWEEDIE MD

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