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ELIZABETH KOCH FNP
NPI 1619868122
Nurse Practitioner in Sterling Heights, MI

Active since July 12, 2025PECOS Enrolled
11188 GLENIS DR, STERLING HEIGHTS, MI 48312(248) 703-0260 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Koch Fnp NPPES

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

ELIZABETH KOCH FNP (NPI 1619868122) is an individual nurse practitioner in Sterling Heights, Michigan, licensed in Michigan (4704360838) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619868122
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH KOCHCredential: FNP
Location Address11188 GLENIS DRSterling Heights, MI 48312-4948
Mailing Address11188 Glenis DrSterling Heights, MI 48312-4948 · (248) 703-0260
Phone(248) 703-0260
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 12, 2025
NPPES CertifiedJuly 12, 2025
✔ NPI 1619868122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704360838
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11188 GLENIS DR, Sterling Heights, MI 48312
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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)

Elizabeth Koch Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305318171
PECOS Enrollment IDI20260611004785
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 48312 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Elizabeth Koch's NPI number?

The NPI number for Elizabeth Koch is 1619868122. It was assigned to this individual provider in the NPPES registry on July 12, 2025.

Where is Elizabeth Koch located?

Elizabeth Koch practices at 11188 Glenis Dr, Sterling Heights, MI 48312. The listed phone number is (248) 703-0260.

What is Elizabeth Koch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Koch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Koch was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.