SUSAN PODRAZA KOPUNEK CRNP
NPI 1952665366
Nurse Practitioner - Adult Health in Baltimore, MD

Active since June 29, 2012PECOS Enrolled
72.86/100
CMS Quality Rating
900 S CATON AVE, MS 235, BALTIMORE, MD 21229(667) 234-8777(667) 234-3517 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Podraza Kopunek Crnp NPPES

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

SUSAN PODRAZA KOPUNEK CRNP (NPI 1952665366) is an individual adult health provider in Baltimore, Maryland, licensed in Maryland (R120298) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952665366
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN PODRAZA KOPUNEKCredential: CRNP
Location Address900 S CATON AVE, MS 235Baltimore, MD 21229-5201
Mailing Address900 S Caton Ave, Ms 235Baltimore, MD 21229-5201 · (667) 234-8777 · Fax (667) 234-3517
Fax(667) 234-3517
Sole ProprietorNo
Enumeration DateJune 29, 2012
Last NPPES UpdateMarch 13, 2017
✔ NPI 1952665366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R120298
900 S CATON AVE, Baltimore, MD 21229

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Podraza Kopunek Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Kopunek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Maryland enrollment
  • 372 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.

Areas of Expertise CMS Part B claims 2

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 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.
115 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

72.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.18
Promoting Interoperability95
Improvement Activities40
Cost48.84

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.

Nurse Anesthetist, Certified Registered
900 S CATON AVE
BALTIMORE, MD 21229
Internal Medicine
900 S CATON AVE
BALTIMORE, MD 21229
Social Worker (Clinical)
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Physician Assistant
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229

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 Susan Kopunek's NPI number?

The NPI number for Susan Kopunek is 1952665366. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Susan Kopunek located?

Susan Kopunek practices at 900 S Caton Ave Ms 235, Baltimore, MD 21229. The listed phone number is (667) 234-8777.

What is Susan Kopunek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Kopunek enrolled in Medicare?

Yes. Susan Kopunek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kopunek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kopunek reassigns Medicare benefits to St. Agnes Healthcare, Inc. (Baltimore, MD). The 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 Susan Kopunek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Kopunek was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.