Active NPI 1255580015 Individual Practitioner Female Practitioner

Nancy Coppernoll , PHYSICIAN ASSISTANT

Physician Assistant • Victoria, TX

Professional Overview & Biography Verified Profile Summary

Nancy Coppernoll, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Victoria, TX. Practice services are available at 2701 HOSPITAL DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2701 Hospital Dr

Victoria, TX 779015748

Telephone 3615741748

Associated Practice Facility / Clinic

🏢 Satkartar Ltd Llp Facility NPI 1922004142

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Victoria, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Victoria, TX (11140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	156	150	$1670.00	$142.62
99284 Emergency department visit with moderate level of medical decision making	122	116	$1141.00	$97.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	116	111	$98.00	$6.56
99291 Critical care, first 30-74 minutes	44	44	$2156.00	$172.17
99283 Emergency department visit with low level of medical decision making	12	12	$671.00	$55.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	170	161	$1670.00	$144.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	128	119	$98.00	$6.70
99284 Emergency department visit with moderate level of medical decision making	118	113	$1141.00	$96.83
99291 Critical care, first 30-74 minutes	72	68	$2156.00	$175.36
99283 Emergency department visit with low level of medical decision making	14	14	$671.00	$59.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	114	108	$1670.00	$144.11
99284 Emergency department visit with moderate level of medical decision making	69	68	$1164.00	$101.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	28	$98.00	$6.89
99291 Critical care, first 30-74 minutes	27	26	$2156.00	$180.12
99283 Emergency department visit with low level of medical decision making	24	23	$671.00	$59.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	151	144	$1590.00	$149.12
99284 Emergency department visit with moderate level of medical decision making	76	74	$1086.00	$102.37
99283 Emergency department visit with low level of medical decision making	32	29	$639.00	$60.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	23	$93.00	$6.99
99291 Critical care, first 30-74 minutes	24	24	$2053.00	$183.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	198	190	$1514.00	$146.94
99284 Emergency department visit with moderate level of medical decision making	89	85	$1034.00	$100.96
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	42	42	$88.00	$7.22
99283 Emergency department visit with low level of medical decision making	40	39	$608.00	$55.13
99291 Critical care, first 30-74 minutes	19	19	$1955.00	$188.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	236	224	$1441.00	$144.85
99284 Emergency department visit with moderate level of medical decision making	171	165	$984.00	$98.34
99283 Emergency department visit with low level of medical decision making	61	59	$579.00	$51.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	53	52	$83.00	$7.10
99291 Critical care, first 30-74 minutes	34	34	$1861.00	$185.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	378	353	$1372.00	$143.55
99284 Emergency department visit with moderate level of medical decision making	237	218	$937.00	$97.58
99283 Emergency department visit with low level of medical decision making	67	62	$551.00	$51.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	64	$79.00	$7.06
99291 Critical care, first 30-74 minutes	60	58	$1772.00	$184.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	395	366	$1372.00	$143.13
99284 Emergency department visit with moderate level of medical decision making	250	233	$937.00	$97.22
99283 Emergency department visit with low level of medical decision making	114	109	$551.00	$51.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	112	104	$79.00	$7.02
99291 Critical care, first 30-74 minutes	53	53	$1772.00	$184.48

Medical Specialties & State Licenses

CMS Verified: 2023-12-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05793

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Clinical Nurse Specialist - Emergency

NUCC Taxonomy Code: 364SE0003X

State License TX TXBPA05793

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Indrani Swami , MD

Anesthesiology

NPI 1013098706

Doctor of Medicine (M.D.)

Jason Cochrum

Nurse Practitioner - Family

NPI 1033513890

Desiree Schumann , RN

Registered Nurse - Neonatal Intensive Care

NPI 1043034739

Registered Nurse

Theresa Ybarra , RN-FNP

Nurse Practitioner

NPI 1043508344

RNFNP

Dr. Benjamin Reddoch , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1043743636

Doctor of Pharmacy (Pharm.D.)

David Schmidt , ACNP-BC

Nurse Practitioner - Adult Health

NPI 1083126205

ACNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Physician Assistant (License #PA05793 in TX)

✅

NPI Profile Active September 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2008

Registered at 2701 HOSPITAL DR, VICTORIA, TX 779015748 (Tel: 3615741748)

📍

Updated Business Mailing Address September 16, 2008

Registered at 2701 HOSPITAL DR, VICTORIA, TX 779015748 (Tel: 3615741748)

👤

Provider Name / Credentials Updated September 16, 2008

Recorded as NANCY COPPERNOLL, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2008

Clinical Nurse Specialist (License #TXBPA05793 in TX)

🟢

Initial NPI Registration & Enumeration September 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255580015

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2008

Last Update: December 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2701 Hospital Dr

Victoria, TX 779015748

Phone: 3615741748

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.