Active NPI
Patricia Koppeis
- Nurse Practitioner
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 066543
- Practice address
- 1103 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 756-6751
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 066543 | MO | Primary |
Addresses
Primary practice location
1103 W Liberty St
Farmington, MO 63640-1921
Mailing address
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 53.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron County Hospital District | Current | Accepting new patients | |
| State of Missouri | Current | Accepting new patients | |
| State of Missouri | Current | Accepting new patients | |
| Iron County Hospital District | Current | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Nurse Practitioner | Past | Accepting new patients |
Locations
1010 W Columbia St
Farmington, MO 63640
Phone (573) 218-6792
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Iron County Medical Center
- Critical Access Hospital
- Pilot Knob, MO
- NPI 1477648178
-
dba Southeast MO Mental Health Center
- Psychiatry Physician
- Farmington, MO
- NPI 1437106705
-
dba Iron County Hospital Family Care Clinic
- Rural Health Clinic/Center
- Pilot Knob, MO
- NPI 1073799367
-
dba Developmental Disabilities Behavior Services
- Psychiatry Physician
- Kansas City, MO
- NPI 1386198448
-
- Emergency Medicine Physician
- Farmington, MO
- NPI 1396760062
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831205566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401921",
"telephone_number": "573-756-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401921",
"telephone_number": "573-756-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPPEIS",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "066543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.