KOREN GEBBEN NURSE PRACTITIONER
NPI 1134690761
Nurse Practitioner - Primary Care in Grand Rapids, MI

Active since December 07, 2018PECOS Enrolled
1959 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 808-2695(616) 808-2697 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Koren Gebben Nurse Practitioner NPPES

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

KOREN GEBBEN NURSE PRACTITIONER (NPI 1134690761) is an individual primary care provider in Grand Rapids, Michigan, licensed in Michigan (4704277013) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134690761
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKOREN GEBBENCredential: NURSE PRACTITIONER
Location Address1959 EAST PARIS AVE SEGrand Rapids, MI 49546-6272
Mailing Address1959 East Paris Ave SeGrand Rapids, MI 49546-6272 · (616) 808-2695 · Fax (616) 808-2697
Fax(616) 808-2697
Sole ProprietorNo
Enumeration DateDecember 7, 2018
NPI 1134690761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704277013
1959 EAST PARIS AVE SE, Grand Rapids, MI 49546

Other Identifiers 1

Other4704277013MI · License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Koren Gebben Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
3 suppliers15 claims15 services$43.30 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers13 claims13 services$135.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1959 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546
Ophthalmology
1959 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546

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 Koren Gebben's NPI number?

The NPI number for Koren Gebben is 1134690761. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Koren Gebben located?

Koren Gebben practices at 1959 East Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 808-2695.

What is Koren Gebben's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Koren Gebben enrolled in Medicare?

Yes. Koren Gebben is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koren Gebben was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.