Pamela Ann Koepsell

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

CS004122 Issued in SD

Practice address

1600 W 22ND St
Sioux Falls, SD 57105-1521

Phone

(605) 312-3938

Fax

(605) 312-3991

NPI assigned

Apr 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

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

• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment NPD
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342
  Medicare reassignment
• Sanford Clinic

  dba Sanford Pulmonary Medicine Clinic

  • Pulmonary Disease Physician
  • Ida Grove, IA
  • NPI 1265457964
  NPD
• Sanford Clinic

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1144259052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1619464294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051521",
            "telephone_number": "605-312-3938",
            "fax_number": "605-312-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051521",
            "telephone_number": "605-312-3938",
            "fax_number": "605-312-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPSELL",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "SD",
            "license": "CS004122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sebalia Koenen, MD
• Aimee Louise Koenig, M.D.
• Elizabeth Koenig, PHARMD
• Debra Koens
• Nathan Koens, PA-C
• Kerry Koerselman, MA, LPC
• Erica Kogel, MA
• Daniel Kohler, DDS
• Benjamin Scott Kohls, LPC
• Gerard J Kokett, PHARMD

• Pediatric Clinical Nurse Specialist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Pediatric Clinical Nurse Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.