Kelly Marie Koenck, NURSE PRACTITIONER - Medicare Nurse Practitioner in Lineville, IA

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Kelly Marie Koenck, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Lineville, Iowa. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wayne County Hospital and her current practice location is 101 Main Street, Lineville, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 876-2070.

Kelly Marie Koenck is licensed to practice in Missouri (license number 2019000931) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467925388.

Contact Information

Kelly Marie Koenck, NURSE PRACTITIONER
101 Main Street,
Lineville, IA 50147-8517
(641) 876-2070
(641) 876-2458

Map and Direction




Provider's Profile

Full NameKelly Marie Koenck
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location101 Main Street, Lineville, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Marie Koenck graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1467925388
  • Provider Enumeration Date: 01/03/2019
  • Last Update Date: 09/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527491679
  • Enrollment ID: I20191204001638

Medical Identifiers

Medical identifiers for Kelly Marie Koenck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467925388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2019000931 (Missouri)Primary
363LF0000XNurse Practitioner - Family A155691 (Iowa)Secondary
163W00000XRegistered Nurse 2007032679 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wayne County HospitalCorydon, IAHospital
Monroe County HospitalAlbia, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wayne County Hospital408250873446

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Marie Koenck allows following entities to bill medicare on her behalf.
Entity NameClarinda Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629196241
PECOS PAC ID: 4587573993
Enrollment ID: O20031205000207
Entity NameWayne County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174599468
PECOS PAC ID: 4082508734
Enrollment ID: O20040212000233
Entity NameMonroe County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245469378
PECOS PAC ID: 1759299217
Enrollment ID: O20040316001275
Entity NameClarinda Regional Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1366486946
PECOS PAC ID: 4587573993
Enrollment ID: O20061104000118
Entity NameWayne County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1174599468
PECOS PAC ID: 4082508734
Enrollment ID: O20061104000298
Entity NameMonroe County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205895299
PECOS PAC ID: 1759299217
Enrollment ID: O20100805000398

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Koenck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Marie Koenck, NURSE PRACTITIONER
25897 Highway A,
Princeton, MO 64673-4690

Ph: (660) 953-0136		Kelly Marie Koenck, NURSE PRACTITIONER
101 Main Street,
Lineville, IA 50147-8517

Ph: (641) 876-2070

Reviews and Comments


Nurse Practitioner Nurses in Lineville, IA

Barbara Jo Masters, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Main Street, Lineville, IA 50147
Phone: 641-876-2070    Fax: 641-876-2458
Roberta C Walburn, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Main St., Lineville, IA 50147
Phone: 641-876-2070    Fax: 641-876-2458

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.