Jessica M Koppen (NPI# 1720515836, PAC ID# 7416228085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720515836 |
| PAC ID by PECOS | 7416228085 |
| Professional Enrollment ID | I20170801002153 |
| Full Name | Jessica M Koppen |
| Organization Legal Name | NORTH IOWA MERCY CLINICS |
| Address |
635 E Us Hwy 9 Mercyone Forest City Family Medicine Forest City IA 50436-1028 |
| Phone Number | 6415852904 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810809076 |
| Number of Group Practice Members | 166 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160064 | MERCY MEDICAL CENTER-NORTH IOWA |
| Address | Phone | Organization |
|---|---|---|
| 635 E Us Hwy 9, Mercyone Forest City Family Medicine, Forest City, IA 50436-1028 | 6415852904 | NORTH IOWA MERCY CLINICS |
| 505 S 1st Ave E, Mercyone Lake Mills Family Medicine, Lake Mills, IA 50450-1425 | 6415923900 | NORTH IOWA MERCY CLINICS |
| Organization Legal Name | NORTH IOWA MERCY CLINICS |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Brewer | Physician Assistant | North Iowa Mercy Clinics | 635 E Us Hwy 9, Mercyone Forest City Family Medicine, Forest City, IA 50436-1028 |
| Kimberly E Etherington | Physician Assistant | North Iowa Mercy Clinics | 1410 6th Ave S, Mercyone Clear Lake Family Medicine, Clear Lake, IA 50428-2606 |
| Katherine A Renfer | Family Medicine | North Iowa Mercy Clinics | 1000 4th St W, Mercy Emergency Physicians, Masn City, IA 50401-2800 |
| Carrie Potter | Nurse Practitioner | North Iowa Mercy Clinics | 1631 4th St Sw, 114 Mercyone Mason City Urgent Care, Mason City, IA 50401-1612 |
| Ameen Taleb | Family Medicine | North Iowa Mercy Clinics | 1010 4th St Sw, 340 Mercyone North Iowa Family Medicine Residency, Mason City, IA 50401-2856 |
| Yen Chen Liu | Dermatology | North Iowa Mercy Clinics | 1421 4th St Sw, Mercyone North Iowa Dermatology Care, Mason City, IA 50401-2736 |
| Jean L Westendorf | Nurse Practitioner | North Iowa Mercy Clinics | 621 S Illinois Ave, 100 Mercyone Regency Family Medicine, Mason City, IA 50401-5489 |
| Pamela E Keller | Family Practice | North Iowa Mercy Clinics | 505 S 1st Ave E, Mercy Family Clinic Lake Mills, Lake Mills, IA 50450-1425 |
| Brent E Brunsting | Family Medicine | North Iowa Mercy Clinics | 203 S 2nd St, Sheffield, IA 50475-5008 |
| Mark C Johnson | Endocrinology | North Iowa Mercy Clinics | 910 N Eisenhower Ave, Mercyone Diabetes Care, Mason City, IA 50401-1525 |
| Street Address |
635 E US HWY 9 MERCYONE FOREST CITY FAMILY MEDICINE |
| City | FOREST CITY |
| State | IA |
| Zip | 50436-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Brewer | Physician Assistant | North Iowa Mercy Clinics | 635 E Us Hwy 9, Mercyone Forest City Family Medicine, Forest City, IA 50436-1028 |
| Lynne M Senty | Family Medicine | North Iowa Mercy Clinics | 635 E Us Hwy 9, Mercyone Forest City Family Medicine, Forest City, IA 50436-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James L Brockhohn | Chiropractic | 245 N Clark St, Forest City, IA 50436-1511 | |
| Joshua D Hildebrand | Physical Therapy | Athletico Ltd | 605 E J St, 200 Athletico Physical Therapy, Forest City, IA 50436-1664 |
| Samantha Lynn Wedemeier | Physical Therapy | Eastern Iowa Therapeutics PC | 605 E J St, Suite 200, Forest City, IA 50436-1664 |
| Jack R Koenen | Chiropractic | 209 S Clark St, Forest City, IA 50436-1810 |
| City | FOREST CITY |
| Zip Code | 50436 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FOREST CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica M Koppen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.