KEVIN COPLEY (NP) – Nurse Practitioner, NPI 1720542145

KEVIN COPLEY (NP) is a healthcare provider. based in Bentonville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. A006089 (AR). The NPI Number for KEVIN COPLEY (NP) is 1720542145

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN COPLEY (NP)
NPI
1720542145
Phone
(812) 801-6931
Address
1301 S WALTON BLVD
Enumeration Date
30 January 2019
Last Update Date
16 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178458300
Graduation Year
2018 (8 years ago)
PAC ID
4880933787
Group Practice PAC ID
8123918257
Professional Enrollment ID
I20210526002087
Address ID
MO648319753AN927XXHWYX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for KEVIN COPLEY (NP)

  • 1301, South Walton Boulevard, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727126284

    Phone: (812) 801-6931

    Type: Location

  • 927 N BUSINESS 71

    ANDERSON, MO 64831

    Phone: (417) 845-8300

    Type: Location

  • 8, Dillow Lane, Rago, Bella Vista, Benton County, Arkansas, 72714, United States

    BELLA VISTA, AR 727144010

    Phone: (812) 801-6931

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Novo Nordisk Inc ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$32
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210526002087INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123918257View full group profile
NameSpecialtyState
-MO
Family Practice, HospitalistUT
Clinical Social WorkerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do payers reference KEVIN COPLEY (NP)?
For KEVIN COPLEY (NP), use NPI 1720542145 as the unique 10-digit identifier.
Active or inactive — what applies to KEVIN COPLEY (NP)?
You should see KEVIN COPLEY (NP) as active in CMS-hosted NPPES data.
How would a patient describe KEVIN COPLEY (NP)'s focus?
For KEVIN COPLEY (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEVIN COPLEY (NP)?
Travel planning: use Bentonville, Arkansas as the reference point for KEVIN COPLEY (NP), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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