JESSICA ANNE KOTOPKA (PA-C) – Rural Health Clinic/Center, NPI 1801548433

JESSICA ANNE KOTOPKA (PA-C) is a healthcare provider. based in Alliance, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2704 (NE). The NPI Number for JESSICA ANNE KOTOPKA (PA-C) is 1801548433

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANNE KOTOPKA (PA-C)
NPI
1801548433
Phone
Not provided
Address
2101 BOX BUTTE AVE
Enumeration Date
25 January 2022
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024837507
Graduation Year
2021 (5 years ago)
PAC ID
4688068828
Group Practice PAC ID
4385539725
Professional Enrollment ID
I20220303001657
Address ID
NE685269277LI4525XSTXX401

Contacts

Secure Messaging
jhartman@bbgh.securechart.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for JESSICA ANNE KOTOPKA (PA-C)

  • 2101 BOX BUTTE AVE

    ALLIANCE, NE 693014445

    Phone:

    Type: Mailing

  • 2102 BOX BUTTE AVE

    ALLIANCE, NE 693014416

    Phone: (308) 762-6660

    Type: Location

  • 2091 BOX BUTTE AVE STE 700

    ALLIANCE, NE 69301

    Phone: (308) 762-7244

    Fax: (308) 762-6657

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2022-03-03

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
I20220303001657IPhysician AssistantNETBD

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 69301)

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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: 4385539725View full group profile
NameSpecialtyState
Family PracticeNE
-NE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
Physician AssistantNE
-NE

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA ANNE KOTOPKA (PA-C)?
NPI 1801548433 is assigned to JESSICA ANNE KOTOPKA (PA-C) under the national enumeration system.
Is JESSICA ANNE KOTOPKA (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JESSICA ANNE KOTOPKA (PA-C) treat or focus on?
Patients typically see JESSICA ANNE KOTOPKA (PA-C) under the specialty Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Does JESSICA ANNE KOTOPKA (PA-C) practice in Nebraska?
You will see Alliance, Nebraska on file for JESSICA ANNE KOTOPKA (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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