Dawn Elizabeth Koch, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Mount Sterling, IL
NPI 1124601695 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1124601695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209023160 (IL)
- Practice address
- 521 E Main St
Mount Sterling, IL 62353-1378 - Phone
- (217) 223-1200
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blessing Hospital
Practice addresses (Care Compare)
521 E Main St
Mt Sterling, IL 62353-1378
Phone (217) 773-7105
Hospital & facility affiliations
- Blessing Home Care
- Blessing Hospital
- Sarah D Culbertson Memorial Hospital
- Illini Community Hospital
- MC Donough District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211117002686 | IL | Practitioner - Nurse Practitioner | 7517356249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
521 E Main St
Mt Sterling, IL 62353
Phone (217) 222-5800
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
Interoperability endpoints
- dawnkoch@blessing.allscriptsdirect.net
- dawnkoch@bcs.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209023160 | IL | Yes |
Addresses
Primary practice location
521 E Main St
Mount Sterling, IL 62353-1378
Mailing address
521 E Main St
Mount Sterling, IL 62353-1378
Phone (217) 223-1200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR |
Other providers in Mount Sterling, IL
- Michael L Jersey
- Amanda Jane Jones
- Kevin Wayne Kackley
- Leann Kassing
- Morgan Kennedy
- Connie Kunkel
- Heidi Lanier
- Jamie Leann Lichtsinn
- McKenzie Regan Likes
- Kayla Renea Macke
All providers in Mount Sterling, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.