NICHOLAS BURKE KOCH
NPI 1891374260
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Nicholas Koch's NPI number?

The NPI number for Nicholas Koch is 1891374260. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Nicholas Koch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Koch was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 05, 2021PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 446-9243(704) 446-9120 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Apr 5, 2021 (2 updates tracked since 2021).

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About Nicholas Burke Koch NPPES

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

NICHOLAS BURKE KOCH (NPI 1891374260) is an individual student in an organized health care education/training program in Charlotte, North Carolina, licensed in North Carolina (303189) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891374260

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS BURKE KOCH

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5871

Mailing Address1000 Blythe BlvdCharlotte, NC 28203-5871 · (704) 446-9243 · Fax (704) 446-9120

Phone(704) 446-9243

Fax(704) 446-9120

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1891374260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · 303189

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203

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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)

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

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.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)