Mackenzie Koch, DNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

115738 Issued in NE

Practice address

102 3Rd Ave
Kearney, NE 68845-7820

Phone

(308) 237-2273

NPI assigned

Nov 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IADGAD/Endpoint/IADGAD

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.

• Brad Rodgers MD Family Practice & Sports Medicine

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1861941999
  Medicare reassignment NPD

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1114743291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 ARTHUR ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491820",
            "telephone_number": "308-991-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 3RD AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457820",
            "telephone_number": "308-237-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "MACKENZIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "115738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Knerl
• Alisa Ann Kniffen, APRN
• Christina Marie Knispel, APRN
• Emily A Knust, OTD, OTR/L
• Kirby L Knuth, APRN
• Bruce Lynn Kohtz, PA-C
• Jacqueline Kohtz, OTR/L
• Nicholas Kolar, PA-C
• Rose Koller
• Moses Kong

• Women's Health Nurse Practitioner in Kearney, NE
• Providers in Kearney, NE by specialty
• Women's Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.