LAUREL KATHERINE HALLOCK KOPPELMAN FNP-C
NPI 1942623764
Nurse Practitioner - Family in Portland, OR
About Laurel Katherine Hallock Koppelman Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREL KATHERINE HALLOCK KOPPELMAN FNP-C (NPI 1942623764) is an individual family provider in Portland, Oregon, licensed in Oregon (201392556) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Laurel Katherine Hallock Koppelman Fnp-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.
Medicare Billing Reassignments
3Medicare enrollment records show Laurel Hallock Koppelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97236
- Reassigned Medicare billing, Oregon enrollment
- 215 clinicians in this Medicare group
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 144 clinicians in this Medicare group
Portland, OR 97201
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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 97236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Laurel Hallock Koppelman's NPI number?
The NPI number for Laurel Hallock Koppelman is 1942623764. It was assigned to this individual provider in the NPPES registry on January 30, 2014.
Where is Laurel Hallock Koppelman located?
Laurel Hallock Koppelman practices at 12720 SE Division Street, Portland, OR 97236. The listed phone number is (503) 988-3601.
What is Laurel Hallock Koppelman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Laurel Hallock Koppelman enrolled in Medicare?
Yes. Laurel Hallock Koppelman 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 Laurel Hallock Koppelman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Hallock Koppelman reassigns Medicare benefits to 3 organizations: Multnomah County (Portland, OR), Oregon Health & Science University (Portland, OR) and University Professional Services (Portland, OR). 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 Laurel Hallock Koppelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laurel Hallock Koppelman accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Laurel Hallock Koppelman 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 Laurel Hallock Koppelman was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Laurel Katherine Hallock Koppelman, FNP-C · NPI 1942623764
Family physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 30, 2014.
## Identity
- **NPI:** 1942623764 (Entity type: Individual)
- **Enumerated:** January 30, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201392556 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 12720 SE DIVISION STREET, Portland, OR 97236
- **Phone:** (503) 988-3601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Multnomah County (NPI 1245378322, Portland, OR); Oregon Health & Science University (NPI 1245093533, Portland, OR); University Professional Services (NPI 1316354970, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** April 23, 2014
- **Other identifiers:** Medicaid 096511 (OR); Medicare OSCAR/certification R0000WCJHT (OR); Medicaid 22959 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1942623764) · Data from the CMS NPPES public registry.