Marjory D Koppelman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A171240 Issued in IA

Practice address

69 Pinney Rd
Moville, IA 51039-7500

Phone

(515) 402-6621

NPI assigned

Sep 23, 2022

Last updated

Mar 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IA, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sikeston Emergency Group LLCGroup PAC ID 6305112814, 19 clinicians

Potosi Emergency Group, LLCGroup PAC ID 0648588541, 19 clinicians

Trinity Medical CenterGroup PAC ID 2264337518, 97 clinicians

Woodbury Emergency Group, PCGroup PAC ID 2961737317, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Memorial Hospital Hospital, Potosi, MO, CCN 261308
• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Merit-based Incentive Payment System (MIPS)

Final score

92.04 of 100Reported as group

Quality

82.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: mkoppelman1216934@direct.unitypoint.org
• Direct secure messaging: mkoppelman3949828@direct.trinity-health.org

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.

• Woodbury Emergency Group, PC

  • Emergency Medicine Physician
  • Sioux City, IA
  • NPI 1447813316
  Medicare reassignment Care Compare group NPD
• Potosi Emergency Group, LLC

  • Emergency Medicine Physician
  • Potosi, MO
  • NPI 1881075349
  Medicare reassignment Care Compare group NPD
• Sikeston Emergency Group LLC

  • Emergency Medicine Physician
  • Sikeston, MO
  • NPI 1427575299
  Medicare reassignment Care Compare group NPD
• Trinity Medical Center

  • Psychiatry Physician
  • Rock Island, IL
  • NPI 1033163829

  IA

  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1386879427
  Medicare reassignment NPD
• Sioux City Hospitalist Group, LLC

  • Hospitalist Physician
  • Sioux City, IA
  • NPI 1427789148
  Medicare reassignment NPD
• Waterloo Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1649013038
  Medicare reassignment NPD
• Unity Healthcare

  dba Unity Physician Clinics

  • Internal Medicine Physician
  • Muscatine, IA
  • NPI 1629122742
  Medicare reassignment
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Keokuk, IA
  • NPI 1518354810
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Bettendorf

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation
• Lake Regional Health System

  • Clinic/Center
  • Osage Beach, MO
  • NPI 1295151959

  Hospital

  Care Compare affiliation
• Lake Regional Health System

  • Rural Acute Care Hospital
  • Osage Beach, MO
  • NPI 1386619450
  Care Compare affiliation
• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare affiliation
• Washington County Memorial Hospital

  • Critical Access Hospital
  • Potosi, MO
  • NPI 1194838821
  Care Compare affiliation

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1619690682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PINNEY RD",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510397500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PINNEY RD",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510397500",
            "telephone_number": "515-402-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015044",
            "country_code": "US",
            "telephone_number": "573-471-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPELMAN",
        "first_name": "MARJORY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Care of Siouxland LLC (Family Health Care Moville Clinic)
• Wendy Kennedy
• Cinda Krause, RN
• Byron Lee Linden, DC
• Scott Linden, D.C.
• Mercy Medical Services (MercyOne Moville Family Medicine)
• Moville Ambulance and Rescue Squad

• Family Nurse Practitioner in Moville, IA
• Providers in Moville, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.