MIKAELA JEAN KOENIG
NPI 1609253806
Family Medicine in Wagner, SD

Q: What is Mikaela Koenig's NPI number?

The NPI number for Mikaela Koenig is 1609253806. It was assigned to this individual provider in the NPPES registry on April 27, 2015. The provider is also known as Mikaela Jean Miller.

Q: What is Mikaela Koenig's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mikaela Koenig was last updated on October 16, 2023. 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.

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment

92.59/100

CMS Quality Rating

513 3RD ST SW, WAGNER, SD 57380(605) 384-3418(605) 384-5240 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 16, 2023, Mar 18, 2019, Jan 10, 2019 (3 updates tracked since 2019).

On this page

About Mikaela Jean Koenig NPPES

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

MIKAELA JEAN KOENIG (NPI 1609253806) is an individual family medicine provider in Wagner, South Dakota, licensed in South Dakota (11242) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Avera Sacred Heart Hospital, and is a graduate of University Of Nebraska College Of Medicine (2015).

NPPES Registry Identity

NPI1609253806

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMIKAELA JEAN KOENIG

Location Address513 3RD ST SWWagner, SD 57380-9675

Mailing Address513 3rd St SwWagner, SD 57380-9675 · (605) 384-3418

Phone(605) 384-3418

Fax(605) 384-5240

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015

Enumeration DateApril 27, 2015

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1609253806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 11242

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.

513 3RD ST SW, Wagner, SD 57380

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Other Names 1

Former Name (1)Mikaela Jean Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Avera Health Plans and more.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

Mikaela Jean Koenig 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 ID2567778236

PECOS Enrollment IDI20190307001977

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.

Medicare Billing Reassignment

Medicare enrollment records show Mikaela Koenig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wagner Community Memorial Hospital

Same address

Family Medicine

513 3RD ST SW
Wagner, SD 57380

Reassigned Medicare billing, South Dakota enrollment
16 clinicians in this Medicare group

NPI 1740306992 (605) 384-3418

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

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430012

Location501 Summit StYankton, SD 57078 · Yankton County

Emergency services Birthing friendly

Wagner Community Memorial Hospital - Cah

Critical Access Hospitals · Wagner, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431315

Location513 3rd St SWWagner, SD 57380 · Charles Mix County

Emergency services

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD

OwnershipGovernment - Local

CMS Certification Number431327

Location410 W 16th AveTyndall, SD 57066 · Bon Homme County

Emergency services

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57380 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.72

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier15 claims41 services$5.97 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers39 claims39 services$112.89 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$35.59 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$4.64 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$26.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

LINDSEY NEDVED NP-C

Nurse Practitioner (Family)