Active NPI
Angela Nicole Koerperich, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Salina, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 53-45868
- Practice address
- 400 S Santa Fe Ave
Salina, KS 67401-4144 - Phone
- (785) 452-6113
- Fax
- (785) 452-6119
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-45868 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 45868 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-45868 | KS | Primary |
Addresses
Primary practice location
400 S Santa Fe Ave
Salina, KS 67401-4144
Mailing address
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-6113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200406210A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000029 | KS | Practitioner - Nurse Practitioner | 0042213076 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Salina Regional Health Center Inc
Practice addresses (Care Compare)
400 S Santa Fe Ave
Salina Regional Hospitalist Services
Salina, KS 67401-4144
Phone (785) 452-6019
Hospital & facility affiliations
- Salina Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.42 of 100
- Quality
- 79.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-45868 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Regional Health Center Inc | Current | Accepting new patients | |
| Salina Regional Health Center, Inc. | Current | Accepting new patients | |
| Salina Regional Health Center, Inc | Current | Accepting new patients |
Locations
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
1508 E Iron Ave
Salina, KS 67401
Phone (785) 823-3654
Interoperability endpoints
- angela.koerperich@srhcdirect.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
-
- Rehabilitation Hospital Unit
- Salina, KS
- NPI 1235193269
-
- Psychiatric Hospital Unit
- Salina, KS
- NPI 1902860893
-
- Pain Medicine (Anesthesiology) Physician
- Salina, KS
- NPI 1356203715
-
- Urgent Care Clinic/Center
- Salina, KS
- NPI 1336513274
Hospital & facility affiliations 1
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": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1629003405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S SANTA FE AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674014144",
"telephone_number": "785-452-6113",
"fax_number": "785-452-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S SANTA FE AVE",
"city": "SALINA",
"state": "KS",
"postal_code": "674014144",
"telephone_number": "785-452-6113",
"fax_number": "785-452-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOERPERICH",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-45868",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "45868",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "53-45868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200406210A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.