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

Q: 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.

Q: What is Koren Gebben's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(616) 808-2695

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

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Other Identifiers 1

Other4704277013MI · License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Koren Gebben reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Age Management Of West Michigan PC

Same address

Internal Medicine

1959 E PARIS AVE SE
Grand Rapids, MI 49546

Reassigned Medicare billing, Michigan enrollment
30 clinicians in this Medicare group

NPI 1558700625 (616) 808-2695

Senior Resources Of West Michigan

39 mi

Gerontology

560 SEMINOLE RD
Norton Shores, MI 49444

Reassigned Medicare billing, Michigan enrollment
11 clinicians in this Medicare group

NPI 1033732987 (231) 739-5858

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 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.

RYANN KOBLINSKI NP

Nurse Practitioner

1959 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (616) 808-2695

GRAND RAPIDS EYE INSTITUTE, PLC

Ophthalmology

1959 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (616) 285-3700

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.

Which organizations bill Medicare for Koren Gebben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koren Gebben reassigns Medicare benefits to 2 organizations: Age Management Of West Michigan PC (Grand Rapids, MI) and Senior Resources Of West Michigan (Norton Shores, MI). 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 Koren Gebben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.