Active NPI
Kelly Marie Koenck, NURSE PRACTITIONER
- Family Nurse Practitioner
- Lineville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019000931
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007032679 | MO | MD | Registered Nurse |
| 2019000931 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne County Hospital | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Wayne County Hospital | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Wayne County Hospital | Family | Current | Accepting new patients |
| Wayne County Hospital | Family | Past | 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
- 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.
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
-
- Critical Access Hospital
- Clarinda, IA
- NPI 1366486946
-
dba Clarinda Medical Associates
- Family Medicine Physician
- Clarinda, IA
- NPI 1629196241
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
- Family Medicine Physician
- Albia, IA
- NPI 1730274424
-
dba Your Neighborhood Pharmacy
- Community/Retail Pharmacy
- Corydon, IA
- NPI 1457902314
-
- Family Medicine Physician
- Corydon, IA
- NPI 1740406776
-
dba Lineville Medical Clinic
- Rural Health Clinic/Center
- Lineville, IA
- NPI 1487746764
Family
-
dba Seymour Medical Clinic
- Rural Health Clinic/Center
- Seymour, IA
- NPI 1780873919
Family
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.