Individual provider Active NPI

Billi Jo Koepke, RNFA, FNP-C

  • Registered Nurse First Assistant
  • Tucson, AZ
National Provider Identifier
1316314420
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
AP7873 Issued in AZ
Practice address
6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149
Phone
(520) 318-3004
Fax
(520) 318-3061
NPI assigned
Aug 24, 2015
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7873 AZ
Registered Nurse First Assistant 163WR0006X AP7873 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149

Mailing address

6422 E Speedway Blvd Ste 150
Tucson, AZ 85710-1149
Phone (520) 318-3004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151020003083 AZ Practitioner - Nurse Practitioner 6204145923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Tucson Weight Loss SurgeryGroup PAC ID 9234594649, 3 clinicians

Practice addresses (Care Compare)

1712 W Anklam Rd
Suite 101
Tucson, AZ 85745-2660
Phone (520) 207-2384

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Weight Loss Surgery Family CurrentSince Jun 27, 2023 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Sep 7, 2018 Accepting new patients
Valley ENT, PC Past Accepting new patients
Southern Arizona Center for Minimally Invasive Surgery, PC Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384

3501 E Speedway Blvd
Ste 300
Tucson, AZ 85716

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

5155 E Farness Dr
Ste 111A
Tucson, AZ 85712
Phone (520) 298-3300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1316314420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101149",
            "telephone_number": "520-318-3004",
            "fax_number": "520-318-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101149",
            "telephone_number": "520-318-3004",
            "fax_number": "520-318-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "BILLI JO",
        "credential": "RNFA, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7873",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "AP7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.