Individual provider Active NPI

Karen Michelle Koppie

  • Family Nurse Practitioner
  • Pioneer, LA
National Provider Identifier
1316458730
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09629 Issued in LA
Practice address
1013 Henry Jones Rd
Pioneer, LA 71266-7374
Phone
(318) 557-2849
NPI assigned
Oct 12, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09629 LA Primary

Addresses

Primary practice location

1013 Henry Jones Rd
Pioneer, LA 71266-7374

Mailing address

1013 Henry Jones Rd
Pioneer, LA 71266-7374
Phone (318) 557-2849

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201103001613 NE Practitioner - Nurse Practitioner 7315205457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dundy County HospitalGroup PAC ID 1153239777, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

1313 N Cheyenne St
Benkelman, NE 69021-3074
Phone (308) 423-2204

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP09629LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dundy County Hospital Current Accepting new patients
Dundy County Hospital CurrentSince Oct 23, 2020 Accepting new patients
Dundy County Hospital CurrentSince Oct 23, 2020 Accepting new patients

Locations

1313 N Cheyenne St
Benkelman, NE 69021
Phone (308) 423-2151

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/dundyco-ea364493

Organizations & group practices 3

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 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1316458730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 HENRY JONES RD",
            "city": "PIONEER",
            "state": "LA",
            "postal_code": "712667374",
            "telephone_number": "318-557-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 HENRY JONES RD",
            "city": "PIONEER",
            "state": "LA",
            "postal_code": "712667374",
            "telephone_number": "318-557-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPIE",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pioneer, LA

Sources for this page

Verify at the official NPI Registry.