Nicholus Kopacki, PA
NPI 1417112004 · Medical Physician Assistant · Grand Rapids, MI
Nicholus Kopacki, PA is a Medical Physician Assistant provider in Grand Rapids, MI (NPI 1417112004).
Provider details
- NPI number
- 1417112004
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 5601005277 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2008-07-23
Frequently asked questions
- What is Nicholus Kopacki's NPI number?
- Nicholus Kopacki's National Provider Identifier (NPI) is 1417112004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholus Kopacki's specialty?
- Nicholus Kopacki is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicholus Kopacki located?
- Nicholus Kopacki's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Nicholus Kopacki's phone number?
- The practice phone number listed in the NPPES registry for Nicholus Kopacki is (800) 968-6866.
- Is Nicholus Kopacki's NPI active?
- Yes — Nicholus Kopacki's NPI (1417112004) is active in the NPPES registry as of the last update on 2008-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.