Jo S Koepsel, PMHWP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP105046 Issued in TX

Practice address

5440 Old Brownsville Rd.
Corpus Christi, TX 78417

Phone

(361) 452-1151

Fax

(361) 452-1517

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Specialists of Texas PLLCGroup PAC ID 3072893726, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Psychiatric Specialists of Texas PLLC

  dba Children's Psychiatric Services of South Texas

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1194187849
  Medicare reassignment Care Compare group NPD
• Psychiatric Consulting Services

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1134164627
  Medicare reassignment NPD
• Bay Area Psychiatry Services PC

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1235898701
  NPD (past)
• Daniela Badea-Mic MD, PA

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1932380029
  NPD (past)
• Raul R Capitaine Mdpa

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1548445075

  Family

  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1104885086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD.",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD.",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPSEL",
        "first_name": "JO",
        "middle_name": "S",
        "credential": "PMHWP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "232350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "232350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP105046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TX",
            "identifier": "8H8660",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038062801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038062802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Ko, JD, MA, LPC-A
• Manferd Dee Koch, PHD
• Pavlo Kodak, M.D.
• Charlene Koehler
• Shannon Michelle Koehler, MD, PHD
• Tete E Koffie-Lartevi, PHARMD
• Ursula Kolenovsky, DT
• Kolich Chiropractic & Rehab, PLLC
• John Kolich, DC
• Stefan J Konasiewicz, MD

• Family Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.