NPIMap

Individual provider Active NPI

Amber N Koon, DO

  • Surgery Physician
  • Henderson, KY
National Provider Identifier
1609288752
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04621 Issued in KY
Practice address
1413 N Elm St Ste 204
Henderson, KY 42420-2773
Phone
(270) 830-9973
Fax
(270) 830-9975
NPI assigned
May 23, 2014
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04621 KY Primary

Addresses

Primary practice location

1413 N Elm St Ste 204
Henderson, KY 42420-2773

Mailing address

1413 N Elm St Ste 204
Henderson, KY 42420-2773
Phone (270) 830-9973

Other names 1

  • Amber Nicole Pelzl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001130 KY Practitioner - General Surgery 9133344484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Health, Inc.Group PAC ID 4981508454, 69 clinicians

Practice addresses (Care Compare)

1413 N Elm St
Suite 204
Henderson, KY 42420-2773
Phone (270) 830-9973

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
91.59
Promoting interoperability
100
Improvement activities
40
Cost
76.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04621KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Union County Hospital, Inc Current Accepting new patients
Deaconess Clinic Inc CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Union County Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Methodist Health, Inc. Current Accepting new patients
Methodist Health, Inc. Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573

1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Interoperability endpoints

  • Direct secure messaging: akoon215083@direct.deaconess.com

Organizations & group practices 5

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 4

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": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1609288752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 204",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202773",
            "telephone_number": "270-830-9973",
            "fax_number": "070-830-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST STE 204",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202773",
            "telephone_number": "270-830-9973",
            "fax_number": "270-830-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "AMBER",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "04621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "PELZL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.