Autumn Rose Koppenhaver, CRNP - Medicare Nurse Practitioner in Elizabethville, PA

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Autumn Rose Koppenhaver, CRNP is a medicare enrolled "Nurse Practitioner" in Elizabethville, Pennsylvania. She graduated from nursing school in 2025 and has 0 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 4897 State Route 209, Elizabethville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 362-3371.

Autumn Rose Koppenhaver is licensed to practice in Pennsylvania (license number SP033234) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457243321.

Contact Information

Autumn Rose Koppenhaver, CRNP
4897 State Route 209,
Elizabethville, PA 17023-8455
(717) 362-3371
(717) 362-4278

Map and Direction




Provider's Profile

Full NameAutumn Rose Koppenhaver
GenderFemale
SpecialityNurse Practitioner
Experience0 Years
Location4897 State Route 209, Elizabethville, Pennsylvania
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Autumn Rose Koppenhaver graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1457243321
  • Provider Enumeration Date: 07/16/2025
  • Last Update Date: 08/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204344245
  • Enrollment ID: I20250801001542

Medical Identifiers

Medical identifiers for Autumn Rose Koppenhaver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457243321NPI-NPPES
1045211160001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP033234 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Rose Koppenhaver is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn Rose Koppenhaver, CRNP
7 Dock Hill Rd,
Middleburg, PA 17842-8910

Ph: (570) 837-2123		Autumn Rose Koppenhaver, CRNP
4897 State Route 209,
Elizabethville, PA 17023-8455

Ph: (717) 362-3371

Reviews and Comments


Nurse Practitioner Nurses in Elizabethville, PA

Danielle Marie Avery, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4897 State Route 209, Elizabethville, PA 17023
Phone: 717-362-3371    Fax: 717-362-4278

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.