KOENA LLC
NPI 1295413417
Family Medicine in Longmont, CO

Active since July 07, 2023
620 KIMBARK ST, LONGMONT, CO 80501(303) 834-8376 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2025, Jul 7, 2023 (2 updates tracked since 2023).

About Koena Llc NPPES

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

KOENA LLC (NPI 1295413417), doing business as Koena Integrative Medicine, is a healthcare organization registered as a family medicine in Longmont, Colorado and active in the NPI registry since July 2023. The organization lists Lyndsey Renee Cordova, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1295413417
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKOENA LLC
Location Address620 KIMBARK STLongmont, CO 80501-4911
Mailing Address713 3rd AveLongmont, CO 80501-5926 · (303) 834-8376
Organization SubpartNo
Authorized OfficialLyndsey Renee CordovaCo-owner · (720) 487-8333
Enumeration DateJuly 7, 2023
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1295413417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
620 KIMBARK ST, Longmont, CO 80501

Other Names 1

Doing Business AsKoena Integrative Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koena Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Koena LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124586573
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Koena LLC's NPI number?

The NPI number for Koena LLC is 1295413417. It was assigned to this organization in the NPPES registry on July 7, 2023. The provider is doing business as Koena Integrative Medicine.

Where is Koena LLC located?

Koena LLC is located at 620 Kimbark St, Longmont, CO 80501. The listed phone number is (303) 834-8376.

What is Koena LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Koena LLC enrolled in Medicare?

Yes. Koena LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Koena LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Koena LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Koena LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.