ANTHONY KOCH PMHNP
NPI 1821676669
Nurse Practitioner - Psychiatric/Mental Health in Dallas, OR

Q: What is Anthony Koch's NPI number?

The NPI number for Anthony Koch is 1821676669. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Anthony Koch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Koch was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment

81.16/100

CMS Quality Rating

182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289(503) 623-2731 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 19, 2026, Feb 4, 2025, Apr 25, 2024 and 4 more (7 updates tracked since 2021).

On this page

About Anthony Koch Pmhnp NPPES

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

ANTHONY KOCH PMHNP (NPI 1821676669) is an individual psychiatric/mental health provider in Dallas, Oregon, licensed in California (NPF95024532) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821676669

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameANTHONY KOCHCredential: PMHNP

Location Address182 SW ACADEMY STDallas, OR 97338-1996

Mailing Address6923 Gibson RdCanfield, OH 44406-8653 · (330) 398-1132

Phone(503) 623-9289

Fax(503) 623-2731

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateMarch 19, 20267 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1821676669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · NPF95024532✔ Licensed in WA · AP61289252✔ Licensed in OH · 0029697✔ Licensed in OR · 10009669

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.445266 (OH)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN61287688 (WA)

182 SW ACADEMY ST, Dallas, OR 97338

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Accepted Insurance

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

Anthony Koch 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 ID7911393228

PECOS Enrollment IDI20251122000541

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 97338 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.

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.

81.16/100

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

Scored as part of a group practice

Quality

71.96

Improvement Activities

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.

JESSICA LYNN DAVIDSON

Case Manager/Care Coordinator

182 SW ACADEMY ST
DALLAS, OR 97338

Polk County (503) 623-9289

ROBERT AUSTIN ZEPEDA

Peer Specialist

182 SW ACADEMY ST
DALLAS, OR 97338

Polk County (503) 962-3928

KIMBERLY DAWN HOWARD QMHA

Counselor

182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338

Polk County (503) 623-9289

JEDONNE JORSTAD BA

Counselor (Mental Health)

182 SW ACADEMY ST, STE 304
DALLAS, OR 97338

Polk County (503) 623-9289

MELANIE MYERS M.S.

Social Worker

182 SW ACADEMY ST
DALLAS, OR 97338

Polk County (503) 831-5970

ZACHARY BEELER

Counselor (Mental Health)

182 SW ACADEMY ST
DALLAS, OR 97338

Polk County (503) 623-9289

LINNEA BAKER

Peer Specialist

182 SW ACADEMY ST
DALLAS, OR 97338

Polk County (503) 623-9289

SUSAN MARIE KLEIN

Counselor (Addiction (Substance Use Disorder))

182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338

Polk County (503) 623-9289

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 Anthony Koch's NPI number?

The NPI number for Anthony Koch is 1821676669. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Anthony Koch located?

Anthony Koch practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Anthony Koch's specialty?

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

Is Anthony Koch enrolled in Medicare?

Yes. Anthony Koch 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 Anthony Koch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Oscar Health Insurance and 3 other insurers list Anthony Koch 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 Anthony Koch was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.