Nicole L Koch, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018424 Issued in PA

Practice address

3565 Route 611 Ste 300
Bartonsville, PA 18321-7832

Phone

(272) 212-0105

Fax

(833) 222-9417

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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.

• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment Care Compare group NPD PA
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment NPD PA
• St. Luke'S Warren Physician Group, PC

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
  • NPI 1467725184
  Medicare reassignment NPD NJ
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke'S Physician Group, Inc.

  • Obstetrics & Gynecology Physician
  • Allentown, PA
  • NPI 1740219211
  NPD
• St. Luke'S Warren Physician Group, PC

  • Vascular & Interventional Radiology Physician
  • Phillipsburg, NJ
  • NPI 1326319195
  NPD
• St. Luke'S Warren Physician Group, PC

  • Ophthalmology Physician
  • Phillipsburg, NJ
  • NPI 1568347201
  NPD
• Gslpg Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1750848321
  NPD (past)
• St. Luke'S Physician Group, Inc

  • Obstetrics & Gynecology Physician
  • Bethlehem, PA
  • NPI 1447801535
  NPD (past)
• St. Luke'S Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

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

• St Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation Hospital
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation Hospital
• St Luke'S Hospital

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation Hospital
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation Hospital
• St Lukes Quakertown Hospital

  • General Acute Care Hospital
  • Quakertown, PA
  • NPI 1669405072
  Care Compare affiliation Hospital
• St. Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation Hospital
• St. Luke'S Hospital Bethlehem

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920
  Care Compare affiliation Hospital
• St. Luke'S Hospital Grand View Campus

  • General Acute Care Hospital
  • Sellersville, PA
  • NPI 1568459287
  Care Compare affiliation Hospital

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Lukes Physician Group Inc 2,161 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
• St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
• St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035

Merit-based Incentive Payment System (MIPS)

Final score

97.13 of 100Reported as apm

Quality

82.27

Promoting interoperability

100

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.koch@slpg.direct-sluhn.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2018.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1265940969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 ROUTE 611 STE 300",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217832",
            "telephone_number": "272-212-0105",
            "fax_number": "833-222-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Eugene Haladay, PT,MHS,DPT,OCS,CSCS
• Thomas Tryon Hart, MD
• Ralph D Hawks, MD
• Russell A Horn, PA
• Richard Eric Katz, DO
• Vickie L Kovar, C.R., LMT
• Paul Hanju Lee, DDS
• Lindsey Maula, RDN, LDN
• Tiffany Nicole Meckler, PA-C
• Pricilla Mensah

• All providers in Bartonsville, PA
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.