NICOLE DOLORES KOPCHAK PA
NPI 1942884838
Physician Assistant - Medical in New York, NY

Active since May 07, 2021PECOS Enrolled
535 W 110TH ST APT 1E, NEW YORK, NY 10025(212) 280-4740 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2022, May 7, 2021 (2 updates tracked since 2021).

About Nicole Dolores Kopchak Pa NPPES

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

NICOLE DOLORES KOPCHAK PA (NPI 1942884838) is an individual medical provider in New York, New York, licensed in New York (026978) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942884838
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE DOLORES KOPCHAKCredential: PA
Location Address535 W 110TH ST APT 1ENew York, NY 10025-2021
Mailing Address1211 Gannet CtForked River, NJ 08731-5533 · (908) 770-1146
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 7, 2021
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1942884838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 026978
535 W 110TH ST APT 1E, New York, NY 10025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Dolores Kopchak Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365898491
PECOS Enrollment IDI20251010002128
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
150 services128 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

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.

Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Adult Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025

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 Nicole Kopchak's NPI number?

The NPI number for Nicole Kopchak is 1942884838. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Nicole Kopchak located?

Nicole Kopchak practices at 535 W 110th St Apt 1E, New York, NY 10025. The listed phone number is (212) 280-4740.

What is Nicole Kopchak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Kopchak enrolled in Medicare?

Yes. Nicole Kopchak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Kopchak was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.