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REAGAN ELIZABETH KOETTING
NPI 1114711710
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 08, 2025PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reagan Elizabeth Koetting NPPES

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

REAGAN ELIZABETH KOETTING (NPI 1114711710) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1114711710
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREAGAN ELIZABETH KOETTING
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address3100 N Central AvePhoenix, AZ 85012-2637
Phone(602) 344-5011
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1114711710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2601 E ROOSEVELT ST, Phoenix, AZ 85008
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Secondary Practice Location 1

Location 13100 N Central AvePhoenix, AZ 85012-2637 · Phone (602) 344-5011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reagan Elizabeth Koetting is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. JOEL PHILIP BETZ M.D.
Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
DR. ALI SHAHEEN AL-YAQOOBI M.D.
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
MARICOPA INTEGRATED HEALTH SYSTEM
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Maricopa County (602) 344-5366
OWEN THOMAS MCCABE MD
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
BRIGHAM NICOLL
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. AMELIA CATHERINE VAN HANDEL M.D.
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (410) 999-0858
KEVIN YANG
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
STEPHANIE BERKSHIRE DO
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5892

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 Reagan Koetting's NPI number?

The NPI number for Reagan Koetting is 1114711710. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Reagan Koetting located?

Reagan Koetting practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.

What is Reagan Koetting's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Reagan Koetting enrolled in Medicare?

Yes. Reagan Koetting is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reagan Koetting was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.