MR. PETER CHRISTOPHER KOEPP PA-C
NPI 1497867907
Physician Assistant - Medical in Fort Bragg, NC

NPI Status: Active since August 31, 2006

Contact Information

2817 REILLY ST
FORT BRAGG, NC
ZIP 28310
Phone: (910) 396-7775

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • PECOS Enrolled

About PETER KOEPP

This page provides the complete NPI Profile along with additional information for Peter Koepp, a primary care provider established in Fort Bragg, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1497867907 assigned on August 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 0010-02309 (NC). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1497867907
Provider Name
MR. PETER CHRISTOPHER KOEPP PA-C
Gender
Male
Entity Type
Individual
Location Address
2817 REILLY ST FORT BRAGG, NC 28310
Location Phone
(910) 396-7775
Mailing Address
2817 REILLY ST FORT BRAGG, NC 28310
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
06-09-2011
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A primary care provider (PCP) like Peter Koepp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0010-02309
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA05201 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8Y0987OTHER (01)TXBLUE CROSS
8J5616MEDICARE PIN (08)TX 
Q55760MEDICARE UPIN (02)TX 
186438101MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

Peter Koepp is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. PETER CHRISTOPHER KOEPP PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497867907
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871661490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 6 + 6 + 1 + 4 + 9 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1497867907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972551570 MEGAN BRADY OTR/L
Individual
Occupational Therapist2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6214
1124064084 LAURA B. PRESSLEY PNP
Individual
Nurse Practitioner (Pediatrics)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1306969977 JENNIFER A PIERCE LCSW
Individual
Social Worker2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6922
1396936803 LESLEE SANDERS PHD, RD
Individual
Dietitian, Registered2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1780868539 RACHEL GEORGE NP
Individual
Nurse Practitioner (Acute Care)2817 REILLY ST WQMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1629248968MS. SYLVIA D JOHNSON M.A., LPA
Individual
Psychologist (Counseling)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7568
1982877692MRS. KRISTI L MURRAY PA-C
Individual
Physician Assistant2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-8282
1073762407 FE MERCADAL LIPIO NALL P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7869
1619122462 JACK A STRONG ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1750526331MS. STEPHANIE M VANNEMAN RD
Individual
Dietitian, Registered2817 REILLY ST
FORT BRAGG, NC 28310
(910) 907-6134
1780820720 EBONI LAQUITA MILLER P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST MCXC COD CREDENTIALS WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1558509513 SHANNA REYES PSY.D.
Individual
Psychologist (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-6069
1306087044 DAVINA N. CARRINGTON P-LCSW
Individual
Social Worker (Clinical)2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-7869
1487896338 KAREN DAIGLE R.D.
Individual
Dietitian, Registered2817 REILLY ST MCXC-COD CREDENTIALS, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1942430947 CARRIE ELIZABETH SAGO DPT
Individual
Physical Therapist2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1982835492DR. LYDIA BELL ELLERHORST DDS
Individual
Dentist (General Practice)2817 REILLY ST MCDS NA B
FORT BRAGG, NC 28310
(910) 396-5610
1992039879 TERRY LEE KESSLER JR.
Individual
Social Worker2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1902130875 CHRISTOPHER MICHAEL PAINE
Individual
Social Worker2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922
1932437605 LAUREN ELIZABETH FINLEY PA
Individual
Physician Assistant2817 REILLY ST WAMC STOP A MCXC COD CREDENTIALS
FORT BRAGG, NC 28310
(910) 907-8707
1407184484 MARYROSE BRYNDZIA DELAROSA OTR
Individual
Occupational Therapist2817 REILLY ST WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
(910) 907-8922

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497867907, enumerated in the NPI registry as an "individual" on August 31, 2006

The provider is located at 2817 Reilly St Fort Bragg, Nc 28310 and the phone number is (910) 396-7775

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.