Individual provider Active NPI

Lisa Anne Koch, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1093725905
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-45853 Issued in KS
Practice address
707 N Emporia St
Wichita, KS 67214-3707
Phone
(316) 268-5591
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 53-45853 KS
Nurse Practitioner 363L00000X 53-45853 KS Primary

Addresses

Primary practice location

707 N Emporia St
Wichita, KS 67214-3707

Mailing address

707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 268-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20071214000494 KS Practitioner - Nurse Practitioner 7911097977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

707 N Emporia St
Wichita, KS 67214-3707
Phone (316) 858-3460

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone (316) 268-5000

929 N Saint Francis St
Wichita, KS 67214-3821

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
82.73
Promoting interoperability
100
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince May 1, 2015 Accepting new patients
Clay County Medical Center CurrentSince Mar 18, 2024 Accepting new patients
Clay County Medical Center Nurse Practitioner CurrentSince Mar 18, 2024 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince May 1, 2015 Accepting new patients
Via Christi Hospitals Wichita, Inc. Past Accepting new patients
Emergency Services, PA Past Accepting new patients
Suleman Sadiq Past Accepting new patients

Locations

761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

609 Liberty St
Clay Center, KS 67432
Phone (785) 632-2181

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

707 N Emporia St
Wichita, KS 67214
Phone (316) 858-3460

848 N Saint Francis Ave
Ste 2945
Wichita, KS 67214
Phone (316) 261-3130

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • Direct secure messaging: lisa.a.koch@khindirect.org
  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1093725905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N EMPORIA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143707",
            "telephone_number": "316-268-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N EMPORIA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143707",
            "telephone_number": "316-268-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "53-45853",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-45853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.