MS. JENNIFER NICOLE SOPKO (PA-C) – Physician Assistant, NPI 1447452826
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MS. JENNIFER NICOLE SOPKO (PA-C)
825 NW HIGHWAY 101 STE A
LINCOLN CITY, OR 973673241
Phone: (541) 996-7480
Type: Location
123 Medical Center Dr
Brunswick, ME 040112652
Phone: (207) 373-6000
Type: Location
22 Station Ave
Brunswick, ME 040112092
Phone: (207) 406-7500
Type: Location
25 Ridgewood Rd
Springfield, VT 051563057
Phone: (802) 885-2151
Type: Location
1 Atwell Rd
Cooperstown, NY 133261394
Phone: (607) 547-3456
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
Bassett Medical Center, 1, Atwell Road, Cooperstown, Town of Otsego, Otsego County, New York, 13326, United States
COOPERSTOWN, NY 13326
Phone: (607) 547-3456
Type: Mailing
140, Burwell Street, Little Falls, City of Little Falls, Herkimer County, New York, 13365, United States
LITTLE FALLS, NY 13365
Phone: (315) 823-4506
Type: Location
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: 2024-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171228002460 | I | Physician Assistant | NY | TBD |
| I20220819002350 | I | Physician Assistant | VT | TBD |
| I20240621003752 | I | Physician Assistant | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 60 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 60 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 16 | 16 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Family Practice | OR | |
| P O D I A T R Y | OR | |
| Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | MN | |
| - | IL |
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