KRISTA MARIE KOPPENBERGER (PA-C) – Physician Assistant, NPI 1598339517

KRISTA MARIE KOPPENBERGER (PA-C) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9114379 (FL). The NPI Number for KRISTA MARIE KOPPENBERGER (PA-C) is 1598339517

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA MARIE KOPPENBERGER (PA-C)
NPI
1598339517
Phone
(407) 299-7333
Address
7652 Ashley Park Ct Ste 305
Enumeration Date
14 May 2021
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392631717
Graduation Year
2020 (6 years ago)
PAC ID
1557769692
Group Practice PAC ID
3274629340
Professional Enrollment ID
I20211005000221
Address ID
FL341032742NA801XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KRISTA MARIE KOPPENBERGER (PA-C)

  • 7652 Ashley Park Ct Ste 305

    Orlando, FL 328356199

    Phone: (407) 299-7333

    Type: Location

  • 802 STERTHAUS DR

    ORMOND BEACH, FL 321745116

    Phone: (407) 299-7333

    Type: Location

  • 7652 ASHLEY PARK CT STE 305

    ORLANDO, FL 328356199

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,845.

Total Amount is formed as General ($1,845) + Research ($0) + Ownership ($0) = $1,845.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($261).

Total Amount

$1,845

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,845

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-05

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
I20211005000221IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,780339$0
99213Established patient office or other outpatient visit, 20-29 minutes921826$0
17000Destruction of precancer skin growth, 1 growth538478$0
11102Biopsy of related skin growth, first growth403367$0
17110Destruction of skin growth, 1-14 growths298274$0
View full utilization report →

Insurance plans in this area (ZIP 32835)

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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: 3274629340View full group profile
NameSpecialtyState
Physician AssistantGA
-FL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantFL
Micrographic Dermatologic Surgery (Mds), DermatologyFL
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for KRISTA MARIE KOPPENBERGER (PA-C) in U.S. healthcare records?
The official identifier for KRISTA MARIE KOPPENBERGER (PA-C) is NPI 1598339517.
Active or inactive — what applies to KRISTA MARIE KOPPENBERGER (PA-C)?
You should see KRISTA MARIE KOPPENBERGER (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe KRISTA MARIE KOPPENBERGER (PA-C)'s focus?
For KRISTA MARIE KOPPENBERGER (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KRISTA MARIE KOPPENBERGER (PA-C) located near Orlando?
KRISTA MARIE KOPPENBERGER (PA-C) currently maps to Orlando, Florida in this extract.
Does KRISTA MARIE KOPPENBERGER (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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