Kathleen Elizabeth Koenen, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2018030053 Issued in MO

Practice address

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265

Phone

(314) 991-5000

NPI assigned

May 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kathleen Elizabeth Hagenhoff Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Maternal Fetal Medicine, LLCGroup PAC ID 5294000485, 16 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mercy Clinic Maternal Fetal Medicine LLC

  • Maternal & Fetal Medicine Physician
  • Saint Louis, MO
  • NPI 1952810129
  Medicare reassignment Care Compare group NPD
• Mercy Hospitals East Communities

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1851431738
  Medicare reassignment NPD
• Mercy Hospitals East Communities

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1841781473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd Ste 3015",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418232",
            "country_code": "US",
            "telephone_number": "314-991-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W Bend Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282252",
            "country_code": "US",
            "telephone_number": "314-991-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENEN",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2018030053",
            "primary": true
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "MO",
            "license": "2011023122",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MO",
            "license": "2018030053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HAGENHOFF",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Koechner, ARNP
• Judith Ann Koehler, M.A., LPC, NCC
• Kristen Lois Koehly, PHARMD
• Carrie A. Koehn, M.S.CCC-SLP
• Jared Koen, M.D.
• Benjamin Shelton Koenig
• Caroline Isabel Koenig
• Carolyn L Koenig, MD
• Jaimie Ann Louise Koenig, M.S., CCC-SLP
• Joel S Koenig, M.D.

• Women's Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.