MS. Jennifer Nicole Sopko, PA-C

Individual provider Medical Physician Assistant · NPI 1447452826

MS. Jennifer Nicole Sopko, PA-C is a Physician Assistant in Lincoln City, Oregon. Qualified in 2017, 9 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maine, New York, Oregon and Vermont.

Years since qualifying: 9
Licensed in: ME, NY, OR, VT
In the registry since: 2007
Specialties on file: 4

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.

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Practice location Address checks out

825 NW Highway 101 Ste A
Lincoln City, OR 97367-3241
Phone: (541) 996-7480

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

22 Station Ave, Brunswick, ME 04011-2092 — (207) 406-7500
123 Medical Center Dr, Brunswick, ME 04011-2652 — (207) 373-6000
1 Atwell Rd, Cooperstown, NY 13326-1394 — (607) 547-3456
25 Ridgewood Rd, Springfield, VT 05156-3057 — (802) 885-2151

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence PA218759 (OR)
Medical Physician Assistant	Taxonomy 363AM0700X · Licence 055.0031594 (VT)
Physician Assistant	Taxonomy 363A00000X · Licence 021537 (NY)
Medical Physician Assistant	Taxonomy 363AM0700X · Licence PA2342 (ME)

Record details

NPI number	1447452826
Entity type	Individual (Type 1)
Gender	Female
Credentials	PA-C
Sole proprietor	No
NPI enumerated	June 5, 2007
Last updated in NPPES	July 26, 2024
Certification date	July 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare