MRS. ALICE W KOINANGE PMHNP-BC
NPI 1104607134
Nurse Practitioner - Psychiatric/Mental Health in Richardson, TX

Q: What is Alice Koinange's NPI number?

The NPI number for Alice Koinange is 1104607134. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Q: What is Alice Koinange's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Alice Koinange was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 05, 2023PECOS EnrolledAccepts Medicare Assignment

1112 N FLOYD RD STE 9, RICHARDSON, TX 75080(469) 369-2673 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Aug 7, 2024, Oct 5, 2023 (3 updates tracked since 2023).

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About Mrs. Alice W Koinange Pmhnp-bc NPPES

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

MRS. ALICE W KOINANGE PMHNP-BC (NPI 1104607134) is an individual psychiatric/mental health provider in Richardson, Texas, licensed in Texas (1138387) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Navarro Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104607134

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. ALICE W KOINANGECredential: PMHNP-BC

Location Address1112 N FLOYD RD STE 9Richardson, TX 75080-4243

Mailing Address1112 N Floyd Rd Ste 9Richardson, TX 75080-4243 · (469) 369-2673

Phone(469) 369-2673

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 5, 2023

Last NPPES UpdateApril 4, 20253 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1104607134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1138387

1112 N FLOYD RD STE 9, Richardson, TX 75080

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Mrs. Alice W Koinange Pmhnp-bc 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 ID2365974516

PECOS Enrollment IDI20241016000460

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450447

Location3201 West Highway 22Corsicana, TX 75110 · Navarro County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIN PIERCE M.S. CCC-SLP

Speech-Language Pathologist