Alisha Renae Koch, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1496664061 Issued in KS

Practice address

619 S Clark Ave
Lyons, KS 67554-3003

Phone

(620) 257-7150

NPI assigned

May 9, 2011

Last updated

May 9, 2011By the provider in NPPES

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 KS

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital District No 1 of Rice CoGroup PAC ID 0648175042, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital District #1 of Rice County Hospital, Lyons, KS, CCN 171330

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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 District No 1 of Rice Co

  • Critical Access Hospital
  • Lyons, KS
  • NPI 1710962014
  Medicare reassignment Care Compare group NPD
• Hospital District No 1 of Rice Co

  dba Sterling Medical Center

  • Rural Health Clinic/Center
  • Sterling, KS
  • NPI 1689973372
  NPD
• Medical Center, P.a.

  • Rural Health Clinic/Center
  • Sterling, KS
  • NPI 1821150228
  NPD (past)

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

• Hospital District No 1 of Rice Co

  • Critical Access Hospital
  • Lyons, KS
  • NPI 1710962014
  Care Compare affiliation

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1710279872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S CLARK AVE",
            "address_2": "P.O. BOX 828",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543003",
            "telephone_number": "620-257-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S CLARK AVE",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543003",
            "telephone_number": "620-257-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ALISHA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "1496664061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital District No 1 of Rice Co
• Hutchinson Clinic, P.a., Inc. (Lyons Medical Center)
• Vicki Johnston, OTR
• Amber Kaspar, ATC
• Roger Allen Klein, MD
• David Leyroy Liska, DC
• LJ Norman DC LLC (Norman Chiropractic Wellness Center)
• Ludwig Family Chiropractic LLC (Ludwig Family Chiropractic)
• Robert Brian Ludwig, DC
• Lyon Pharmacy Inc

• Family Nurse Practitioner in Lyons, KS
• Providers in Lyons, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.