Jenna Michelle Koepke

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-77218 Issued in KS

Practice address

7405 Renner Rd
Shawnee, KS 66217

Phone

(913) 588-1227

NPI assigned

Sep 1, 2016

Last updated

Nov 8, 2023By 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, NM, TN, KY, NY, NC, CO, VA, WV9 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 9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.koepke.1@30520.direct.athenahealth.com
• Direct secure messaging: jenna.koepke@237407481626628.direct.elationemr.com

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.

• Doctor on Demand Professionals of Kansas, P.a.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1881477339

  KS

  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  KS

  Medicare reassignment NPD
• Visavis Health Care Medical Group of NC PLLC

  • Family Medicine Physician
  • Mount Olive, NC
  • NPI 1861274607
  Medicare reassignment NPD
• Visavis Health Care Medical Group of NM LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1598459042
  Medicare reassignment NPD
• Visavis Health Care Medical Group of TN PLLC

  • Family Medicine Physician
  • La Follette, TN
  • NPI 1407639172
  Medicare reassignment NPD
• Visavis Health Care Medical Group of VA LLC

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1508649278
  Medicare reassignment NPD
• Visavis Health Care Medical Group of WV PLLC

  • Family Medicine Physician
  • Hurricane, WV
  • NPI 1215792155
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Ky LLC

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1427831197

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1851848352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIV OF KS HOSPITAL 3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "66217",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "JENNA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyle Kitchen, DC
• Joann G Klaassen, RN
• Lisa Knight, LMSW
• Morgan Knight
• Bryan Knowles
• Taisha Kovar, T-LMFT
• Courtney Kraus, BCBA, LBA, MS ED
• Elizabeth Krawczyk, MHR, LAT, ATC
• Thomas Jerome Krebs, LSCSW
• Andrea R Kristoff, MPT

• Nurse Practitioner in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.