NICOLE KOEPKE NPI 1003006735

Nurse Practitioner (Pediatrics)

MS. NICOLE MARIE KOEPKE CRNP

Nicole Koepke is a nurse practitioner in Philadelphia, PA. Nicole Koepke NPI is 1003006735. The provider's taxonomy code is 363LP0200X - Nurse Practitioner.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003006735
Provider Name: MS. NICOLE MARIE KOEPKE CRNP
Gender: Female
NPI Entity Type: Individual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: No
Is Organization Subpart?: N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 07-30-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 05-30-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Registered in PECOS?: YES Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.


Business Address Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1944
Fax: (215) 590-4454

Mailing Address Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

100 E PENN SQ
9TH FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (267) 425-9234
Fax: (267) 425-9299

Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1363LP0200X Additional informationCallout TooltipTaxonomy Code - 363LP0200X


Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsSP007292PAYes

Map Location


MS. NICOLE MARIE KOEPKE CRNP address is 3401 CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED PHILADELPHIA, PA 19104 Get Directions