MIRIAM KOESY PMHNP
NPI 1891346664
Nurse Practitioner - Psychiatric/Mental Health in Rogers, AR

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment
1106 POPLAR PL, ROGERS, AR 72756(479) 372-6464(479) 372-6460 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2021, Sep 24, 2019 (2 updates tracked since 2019).

About Miriam Koesy Pmhnp NPPES

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

MIRIAM KOESY PMHNP (NPI 1891346664) is an individual psychiatric/mental health provider in Rogers, Arkansas, licensed in Arkansas (121800) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891346664
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRIAM KOESYCredential: PMHNP
Location Address1106 POPLAR PLRogers, AR 72756-4249
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Fax(479) 372-6460
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1891346664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AR · 121800
1106 POPLAR PL, Rogers, AR 72756

Secondary Practice Locations 2

Location 11102 Poplar PlRogers, AR 72756-4249 · Phone (479) 372-6464 · Fax (479) 372-6460
Location 22961 N Point CirFayetteville, AR 72704-6986 · Phone (479) 332-4557 · Fax (479) 435-9587

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

Miriam Koesy 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 ID4385075381
PECOS Enrollment IDI20200506003190
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 72756 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Counselor (Professional)
1106 POPLAR PL
ROGERS, AR 72756
Social Worker
1106 POPLAR PL
ROGERS, AR 72756
Social Worker
1106 POPLAR PL
ROGERS, AR 72756

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 Miriam Koesy's NPI number?

The NPI number for Miriam Koesy is 1891346664. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Miriam Koesy located?

Miriam Koesy practices at 1106 Poplar Pl, Rogers, AR 72756. The listed phone number is (479) 372-6464.

What is Miriam Koesy's specialty?

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

Is Miriam Koesy enrolled in Medicare?

Yes. Miriam Koesy 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 Miriam Koesy was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.