Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MARY ANNE KOEPPEL A.R.N.P.
NPI 1164409306
Nurse Practitioner - Pediatrics in Tallahassee, FL

Q: What is Mary Koeppel's NPI number?

The NPI number for Mary Koeppel is 1164409306. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Mrs. Mary Anne Grim Koeppel A.R.N.P..

Q: What is Mary Koeppel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Koeppel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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 29, 2005

1881 PROFESSIONAL PARK CIR, SUITE 80, TALLAHASSEE, FL 32308(850) 402-5454(850) 402-5451 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mary Anne Koeppel A.r.n.p. NPPES

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

MRS. MARY ANNE KOEPPEL A.R.N.P. (NPI 1164409306) is an individual pediatrics provider in Tallahassee, Florida, licensed in Florida (ARNP 523132) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1164409306

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. MARY ANNE KOEPPELCredential: A.R.N.P.

Location Address1881 PROFESSIONAL PARK CIR, SUITE 80Tallahassee, FL 32308-4541

Mailing Address7047 Dardwood LnTallahassee, FL 32312-3511 · (850) 893-3772

Phone(850) 402-5454

Fax(850) 402-5451

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1164409306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · ARNP 523132

1881 PROFESSIONAL PARK CIR, Tallahassee, FL 32308

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Other Names 1

Professional Name (2)Mrs. Mary Anne Grim Koeppel A.r.n.p.

Other Providers at the Same Location NPPES

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

PROFESSIONAL PARK PEDIATRICS P.A.

Pediatrics

1881 PROFESSIONAL PARK CIR, SUITE 80
TALLAHASSEE, FL 32308

Leon County (850) 402-5454

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 Mary Koeppel's NPI number?

The NPI number for Mary Koeppel is 1164409306. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Mrs. Mary Anne Grim Koeppel A.R.N.P..

Where is Mary Koeppel located?

Mary Koeppel practices at 1881 Professional Park Cir Suite 80, Tallahassee, FL 32308. The listed phone number is (850) 402-5454.

What is Mary Koeppel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Koeppel was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.