Piet Koene

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A170187 Issued in IA

Practice address

118 N 7TH Ave
Sheldon, IA 51201-1235

Phone

(712) 203-9614

NPI assigned

Jul 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera Holy Family

  dba Avera Holy Family Hospital

  • Critical Access Hospital
  • Estherville, IA
  • NPI 1508810177
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Health Lake Park Clinic

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Sheldon

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1831281047
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1003549056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-203-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENE",
        "first_name": "PIET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A170187",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IA",
            "license": "F07220307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc (Hy-Vee Pharmacy (1573))
• Sarah Nicole Jenness
• Allen S Jones, O.D.
• William R Jongewaard, M.D.
• Haley Jungers, OTR/L
• Kayla Kruger
• Jenna Lee Leuthold, COTA/L
• Scott Alan Lichty, M.D.
• Rachel Marie Like, DPT
• Molly Lorenzen, NP

• Nurse Practitioner in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.