SALLY HAINES KOCH FNP-BC
NPI 1215523915
Nurse Practitioner - Family in Charlottesville, VA

Q: What is Sally Koch's NPI number?

The NPI number for Sally Koch is 1215523915. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Q: What is Sally Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Koch was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 16, 2020PECOS Enrolled

675 PETER JEFFERSON PKWY STE 300, CHARLOTTESVILLE, VA 22911(434) 817-6900 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sally Haines Koch Fnp-bc NPPES

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

SALLY HAINES KOCH FNP-BC (NPI 1215523915) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024179671) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215523915

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSALLY HAINES KOCHCredential: FNP-BC

Location Address675 PETER JEFFERSON PKWY STE 300Charlottesville, VA 22911-8618

Mailing Address103 Baylor PlCharlottesville, VA 22902-6096

Phone(434) 817-6900

Sole ProprietorNo

Enumeration DateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1215523915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024179671

675 PETER JEFFERSON PKWY STE 300, Charlottesville, VA 22911

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Haines Koch Fnp-bc 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

34 services18 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

29 services18 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 6

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

DANA N RACETTE RN

Registered Nurse (Hospice)

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 817-6900

MRS. JENNIFER ELLEN DUMRAUF RN, APN, C-CNS

Clinical Nurse Specialist

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 817-6900

EVA MOTTO NP

Nurse Practitioner (Family)

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 817-6900

MICHAEL CANNON WILLIAMSON LCSW

Social Worker (Clinical)

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVLE, VA 22911

Albemarle County (434) 817-6900

RACHEL CAROLINA HESS DNP, APRN, AGPCNP-BC

Nurse Practitioner (Adult Health)

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 817-6900

MICHAEL DOBSON MD

Family Medicine (Hospice and Palliative Medicine)

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE, VA 22911

Albemarle County (402) 559-7200

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 Sally Koch's NPI number?

The NPI number for Sally Koch is 1215523915. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Sally Koch located?

Sally Koch practices at 675 Peter Jefferson Pkwy Ste 300, Charlottesville, VA 22911. The listed phone number is (434) 817-6900.

What is Sally Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sally Koch enrolled in Medicare?

Yes. Sally Koch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Koch was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.