MANDY KOEKEMOER
NPI 1164086559
Nurse Practitioner - Family in Jonesboro, AR
About Mandy Koekemoer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY KOEKEMOER (NPI 1164086559) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (222001) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mandy Koekemoer 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mandy Koekemoer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 37 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 72 clinicians in this Medicare group
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 72405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mandy Koekemoer's NPI number?
The NPI number for Mandy Koekemoer is 1164086559. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Mandy Koekemoer located?
Mandy Koekemoer practices at 4713 Winged Foot Ln, Jonesboro, AR 72405. The listed phone number is (870) 243-0418.
What is Mandy Koekemoer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mandy Koekemoer enrolled in Medicare?
Yes. Mandy Koekemoer 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.
Which organizations bill Medicare for Mandy Koekemoer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Koekemoer reassigns Medicare benefits to 2 organizations: Renew Mental Health And Wellness LLC (Jonesboro, AR) and Venvisor Health Of Ar PA (Bentonville, AR). 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 Mandy Koekemoer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Koekemoer accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mandy Koekemoer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mandy Koekemoer was last updated on November 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mandy Koekemoer · NPI 1164086559
Family physician in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1164086559 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 222001 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4713 WINGED FOOT LN, Jonesboro, AR 72405-8050
- **Phone:** (870) 243-0418
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Renew Mental Health And Wellness LLC (NPI 1447817572, Jonesboro, AR); Venvisor Health Of Ar PA (NPI 1992553028, Bentonville, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164086559) · Data from the CMS NPPES public registry.