ALICE KOECH A-GNP-C
NPI 1669105656
Nurse Practitioner in Roseburg, OR

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
1700 NW GARDEN VALLEY BLVD STE 201, ROSEBURG, OR 97471(541) 464-0788 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2023, Jul 6, 2022 (2 updates tracked since 2022).

About Alice Koech A-gnp-c NPPES

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

ALICE KOECH A-GNP-C (NPI 1669105656) is an individual nurse practitioner in Roseburg, Oregon, licensed in Oregon (10000878) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669105656
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICE KOECHCredential: A-GNP-C
Location Address1700 NW GARDEN VALLEY BLVD STE 201Roseburg, OR 97471-1636
Mailing Address1117 W Young StElma, WA 98541-9090
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1669105656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OR · 10000878
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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP61327739 (WA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP61327739 (WA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP61327739 (WA)
1700 NW GARDEN VALLEY BLVD STE 201, Roseburg, OR 97471

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

Alice Koech A-gnp-c 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 ID4880062264
PECOS Enrollment IDI20241127000337
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 97471 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 4

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

Nurse Practitioner
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Physician Assistant
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Nurse Practitioner (Family)
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471
Clinic/Center (Rural Health)
1700 NW GARDEN VALLEY BLVD STE 201
ROSEBURG, OR 97471

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 Alice Koech's NPI number?

The NPI number for Alice Koech is 1669105656. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Alice Koech located?

Alice Koech practices at 1700 NW Garden Valley Blvd Ste 201, Roseburg, OR 97471. The listed phone number is (541) 464-0788.

What is Alice Koech's specialty?

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

Is Alice Koech enrolled in Medicare?

Yes. Alice Koech 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.

When was this NPI record last updated?

The NPPES record for Alice Koech was last updated on January 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.