Whittney Koepnick, BSN, RN

Key facts

NPI

1023940517

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

198707 (WI)

Practice address

20121 83Rd St
Bristol, WI 53104-9779

Phone

(262) 857-2334

Fax

(262) 462-2002

NPI assigned

Jun 1, 2026

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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

• Bristol School District #1 Local Education Agency (LEA) · Bristol, WI · NPI 1215116272
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2026.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1023940517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 83RD ST",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531049779",
            "telephone_number": "262-857-2334",
            "fax_number": "262-462-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 83RD ST",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531049779",
            "telephone_number": "262-857-2334",
            "fax_number": "262-462-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPNICK",
        "first_name": "WHITTNEY",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "198707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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