JESSICA SUE KOONTZ
NPI 1912772187
Registered Nurse - Psychiatric/Mental Health in Orlando, FL

Active since November 17, 2023PECOS Enrolled
601 E ROLLINS ST, ORLANDO, FL 32803(407) 303-5600 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Sue Koontz NPPES

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

JESSICA SUE KOONTZ (NPI 1912772187) is an individual psychiatric/mental health provider in Orlando, Florida, licensed in Florida (RN9226923) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912772187
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameJESSICA SUE KOONTZ
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address9808 Montclair CirApopka, FL 32703-1966
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1912772187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in FL · RN9226923
601 E ROLLINS ST, Orlando, FL 32803

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Sue Koontz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557851003
PECOS Enrollment IDI20251104003016
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Koontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
425 W COLONIAL DR, SUITE 302
Orlando, FL 32804
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803

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 Jessica Koontz's NPI number?

The NPI number for Jessica Koontz is 1912772187. It was assigned to this individual provider in the NPPES registry on November 17, 2023.

Where is Jessica Koontz located?

Jessica Koontz practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 303-5600.

What is Jessica Koontz's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Jessica Koontz enrolled in Medicare?

Yes. Jessica Koontz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Koontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Koontz reassigns Medicare benefits to Central Florida Geriatric Psychiatry Inc (Orlando, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Koontz accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jessica Koontz 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 Jessica Koontz was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.