PIET KOENE
NPI 1003549056
Nurse Practitioner in Sheldon, IA
About Piet Koene NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIET KOENE (NPI 1003549056) is an individual nurse practitioner in Sheldon, Iowa, licensed in Iowa (A170187) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Piet Koene is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Piet Koene reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheldon, IA 51201
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1841200623 (Iowa)
- 60 clinicians in this Medicare group
Estherville, IA 51334
- Reassigned Medicare billing, Iowa enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Piet Koene's NPI number?
The NPI number for Piet Koene is 1003549056. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Piet Koene located?
Piet Koene practices at 118 N 7th Ave, Sheldon, IA 51201. The listed phone number is (712) 203-9614.
What is Piet Koene's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Piet Koene enrolled in Medicare?
Yes. Piet Koene is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Piet Koene's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Piet Koene reassigns Medicare benefits to 2 organizations: Sanford Health Network (Sheldon, IA) and Avera Holy Family (Estherville, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Piet Koene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Piet Koene accept?
Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Piet Koene as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Piet Koene was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Piet Koene · NPI 1003549056
Nurse Practitioner physician in Sheldon, Iowa. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1003549056 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** A170187 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 N 7TH AVE, Sheldon, IA 51201-1235
- **Phone:** (712) 203-9614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Health Network (NPI 1598295941, Sheldon, IA); Avera Holy Family (NPI 1508810177, Estherville, IA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003549056) · Data from the CMS NPPES public registry.