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JESSICA ANNE KOUPAL DNP-FNP, PMHNP
NPI 1306488333
Nurse Practitioner - Psychiatric/Mental Health in Blackhawk, SD

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
8000 BLACK HAWK RD STE 4, BLACKHAWK, SD 57718(605) 431-3388 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Aug 22, 2023, Jan 26, 2023 and 1 more (4 updates tracked since 2019).

About Jessica Anne Koupal Dnp-fnp, Pmhnp NPPES

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

JESSICA ANNE KOUPAL DNP-FNP, PMHNP (NPI 1306488333) is an individual psychiatric/mental health provider in Blackhawk, South Dakota, licensed in South Dakota (CP001656) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306488333
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA ANNE KOUPALCredential: DNP-FNP, PMHNP
Location Address8000 BLACK HAWK RD STE 4Blackhawk, SD 57718
Mailing Address8000 Black Hawk Rd Ste 4Black Hawk, SD 57718-3315 · (605) 431-3388
Phone(605) 431-3388
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateSeptember 7, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1306488333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SD · CP001656
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001656 (SD)
8000 BLACK HAWK RD STE 4, Blackhawk, SD 57718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Anne Koupal Dnp-fnp, Pmhnp 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.

PECOS PAC ID9234562778
PECOS Enrollment IDI20191213001625
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57718 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 3

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

CARRIE JO FARNSWORTH FNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8000 BLACK HAWK RD STE 4
BLACK HAWK, SD 57718
Meade County (605) 431-3388
MIND BODY CONNECTIONS LLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
8000 BLACK HAWK RD STE 4
BLACK HAWK, SD 57718
Meade County (605) 431-3388
DANIELLE RAE AKASON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8000 BLACK HAWK RD STE 4
BLACK HAWK, SD 57718
Meade County (605) 431-3388

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 Jessica Koupal's NPI number?

The NPI number for Jessica Koupal is 1306488333. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Jessica Koupal located?

Jessica Koupal practices at 8000 Black Hawk Rd Ste 4, Blackhawk, SD 57718. The listed phone number is (605) 431-3388.

What is Jessica Koupal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Koupal enrolled in Medicare?

Yes. Jessica Koupal 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.

What insurance does Jessica Koupal accept?

Health plans from Sanford Health Plan list Jessica Koupal 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 Jessica Koupal was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.