Individual provider Active NPI

Kelly Marie Koenck, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lineville, IA
National Provider Identifier
1467925388
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019000931 Issued in MO
Practice address
101 Main Street
Lineville, IA 50147-8517
Phone
(641) 876-2070
Fax
(641) 876-2458
NPI assigned
Jan 3, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019000931 MO Primary
Family Nurse Practitioner 363LF0000X A155691 IA
Registered Nurse 163W00000X 2007032679 MO

Addresses

Primary practice location

101 Main Street
Lineville, IA 50147-8517

Mailing address

25897 Highway a
Princeton, MO 64673-4690
Phone (660) 953-0136

Other practice location 1

417 S East St
Corydon, IA 50060-1865
Phone (641) 872-2063

Other names 1

  • Kelly Marie Schurke-Batson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20191204001638 IA Practitioner - Nurse Practitioner 8527491679 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

417 S E St
Corydon, IA 50060-1860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2007032679MOMDRegistered Nurse
2019000931MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Monroe County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Monroe County Hospital Current Accepting new patients
Clarinda Regional Health Center CurrentSince Nov 1, 2025 Accepting new patients
Wayne County Hospital CurrentSince Dec 1, 2019 Accepting new patients
Clarinda Regional Health Center CurrentSince Nov 1, 2025 Accepting new patients
Monroe County Hospital CurrentSince Oct 1, 2025 Accepting new patients
Wayne County Hospital Family CurrentSince Dec 1, 2019 Accepting new patients
Wayne County Hospital Family PastSince Nov 24, 2019 Accepting new patients
Wayne County Hospital Family Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

Interoperability endpoints

  • Direct secure messaging: kbarton@wchclinics.gwaydirect.com

Organizations & group practices 10

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1467925388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25897 HIGHWAY A",
            "city": "PRINCETON",
            "state": "MO",
            "postal_code": "646734690",
            "telephone_number": "660-953-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN STREET",
            "city": "LINEVILLE",
            "state": "IA",
            "postal_code": "501478517",
            "telephone_number": "641-876-2070",
            "fax_number": "641-876-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 S East St",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IA",
            "postal_code": "500601865",
            "country_code": "US",
            "telephone_number": "641-872-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENCK",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019000931",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155691",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007032679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SCHURKE-BATSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lineville, IA

Sources for this page

Verify at the official NPI Registry.