NATHAN ANDREW KOPPE (CNP) – Gerontology Nurse Practitioner, NPI 1992219570

NATHAN ANDREW KOPPE (CNP) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 5651 (MN). The NPI Number for NATHAN ANDREW KOPPE (CNP) is 1992219570

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN ANDREW KOPPE (CNP)
NPI
1992219570
Phone
Not provided
Address
1700 UNIVERSITY AVE W
Enumeration Date
19 November 2017
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
4183986060
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20180314000241
Address ID
MN551043727Sa1700XWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for NATHAN ANDREW KOPPE (CNP)

  • 1700 UNIVERSITY AVE W

    SAINT PAUL, MN 551043727

    Phone:

    Type: Mailing

  • 6936, Pine Arbor Drive South, Pine Arbor, Cottage Grove, Washington County, Minnesota, 55016, United States

    COTTAGE GROVE, MN 550164645

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-14

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
I20180314000241INurse PractitionerMNTBD

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
36415Insertion of needle into vein for collection of blood sample226149$0
99214Established patient office or other outpatient visit, 30-39 minutes218141$0
80053Blood test, comprehensive group of blood chemicals146116$0
80061Blood test, lipids (cholesterol and triglycerides)107101$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test9482$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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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: 3971407636View full group profile

Reviews

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Frequently asked questions

What is the registry number for NATHAN ANDREW KOPPE (CNP)?
The registry entry for NATHAN ANDREW KOPPE (CNP) shows NPI 1992219570.
Should I treat NATHAN ANDREW KOPPE (CNP) as an active provider?
Patients and plans typically see NATHAN ANDREW KOPPE (CNP) as active in the national extract.
What services align with NATHAN ANDREW KOPPE (CNP)'s listing?
NATHAN ANDREW KOPPE (CNP)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to NATHAN ANDREW KOPPE (CNP)?
NATHAN ANDREW KOPPE (CNP) shows a connection to Saint Paul, Minnesota in registry-derived data.
Can I export NATHAN ANDREW KOPPE (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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