MRS. MARY JANE KOPAKOWSKI – Nurse Practitioner, NPI 1124132816
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. MARY JANE KOPAKOWSKI
White Horse Pike, Haddon Heights, Camden County, New Jersey, 08007, United States
SUITE 112
HADDON HEIGHTS, NJ 080351927
Phone: (856) 546-3003
Fax: (856) 547-3178
Type: Mailing
West Atlantic Avenue, Haddon Heights, Camden County, New Jersey, 08035, United States
HADDON HEIGHTS, NJ 080351715
Phone: (856) 546-3003
Fax: (856) 547-3178
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $2,065.
Total Amount is formed as General ($2,065) + Research ($0) + Ownership ($0) = $2,065.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($771).
Total Amount
$2,065
General + Research + Ownership
Payments
104
Total payment records
General Amount
$2,065
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $771 |
| Novartis Pharmaceuticals Corporation | $265 |
| Janssen Pharmaceuticals, Inc | $239 |
| Amgen Inc. | $135 |
| Merck Sharp & Dohme LLC | $130 |
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: 2006-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060406000575 | I | Nurse Practitioner | NJ | TBD |
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.
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 08035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NJ | |
| Physician Assistant | NJ | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| Cardiovascular Disease (Cardiology) | NJ | |
| Cardiac Electrophysiology | NJ | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MA | |
| Physician Assistant | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ |
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