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HEATHER KOENNECKE
NPI 1053102251
Registered Nurse in Saratoga Spgs, NY

Active since May 15, 2025Accepts Medicare Assignment
211 CHURCH ST, SARATOGA SPGS, NY 12866(518) 587-3222 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Koennecke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER KOENNECKE (NPI 1053102251) is an individual registered nurse in Saratoga Spgs, New York, licensed in New York (775636) and active in the NPI registry since May 2025. She is affiliated with Saratoga Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053102251
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameHEATHER KOENNECKE
Location Address211 CHURCH STSaratoga Spgs, NY 12866-1003
Mailing Address211 Church StSaratoga Spgs, NY 12866-1003
Phone(518) 587-3222
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1053102251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NY · 775636
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
211 CHURCH ST, Saratoga Spgs, NY 12866
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Koennecke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476058546
PECOS Enrollment IDI20250929000584

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

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.

ROBERT I GOGUEN
Counselor (Mental Health)
211 CHURCH ST, CRAMER HOUSE
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 584-9030
JEAN R MISCHLER NP
Nurse Practitioner
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8499
MISS ANDREA CATHERINE KELLY OTR/L
Occupational Therapist
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 368-1925
DR. MARINA ROZIK MD
Student in an Organized Health Care Education/Training Program
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8797
DR. LAURA MCMAHON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 583-8400
DR. ROBERT R PULLING MD
Internal Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141
DR. BERT W PYLE III MD
Family Medicine
211 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-1141
DANIELLE DOLHENTY
Physician Assistant
211 CHURCH ST
SARATOGA SPGS, NY 12866
Saratoga County (515) 586-3222

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 Heather Koennecke's NPI number?

The NPI number for Heather Koennecke is 1053102251. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Heather Koennecke located?

Heather Koennecke practices at 211 Church St, Saratoga Spgs, NY 12866. The listed phone number is (518) 587-3222.

What is Heather Koennecke's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Heather Koennecke enrolled in Medicare?

Yes. Heather Koennecke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Heather Koennecke affiliated with any hospitals?

According to CMS data, Heather Koennecke is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Heather Koennecke was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.