Active NPI
Marsha Lynn Koebcke, RN FNP
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1902970825
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- G01364
- Practice address
- 11420 Bee Caves Rd
Suite a-150
Austin, TX 78738-5528 - Phone
- (512) 263-9072
- Fax
- (512) 402-9057
- NPI assigned
- Nov 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | G01364 | TX | Primary |
Addresses
Primary practice location
11420 Bee Caves Rd
Suite a-150
Austin, TX 78738-5528
Mailing address
11420 Bee Caves Rd
Suite a-150
Austin, TX 78738-5528
Phone (512) 263-9072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G01364 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1902970825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 BEE CAVES RD",
"address_2": "SUITE A-150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787385528",
"telephone_number": "512-263-9072",
"fax_number": "512-402-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 BEE CAVES RD",
"address_2": "SUITE A-150",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787385528",
"telephone_number": "512-263-9072",
"fax_number": "512-402-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEBCKE",
"first_name": "MARSHA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "G01364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.