Kelly Marie Koenck, NURSE PRACTITIONER
NPI 1467925388ActiveIndividual· Nurse Practitioner, Family· Lineville, IA
Nurse Practitioner, Family (NURSE PRACTITIONER) with Wayne County Hospital, practicing in Lineville, Iowa. Part D covered 1,098 prescriptions written in 2024, 84% of them generic. Lists Monroe County Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1467925388 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2019 |
| Last updated in NPPES | Sep 3, 2026 |
| Certified by provider | Sep 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2019000931 | MO |
| Nurse Practitioner, Family | 363LF0000X | A155691 | IA |
| Registered Nurse | 163W00000X | 2007032679 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,098 · 2,228 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $141,932 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Wayne County HospitalHumeston, IA · 47 clinicians
Hospital affiliations
- Monroe County HospitalAlbia, IA
- Wayne County HospitalCorydon, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Lineville
- 1003268228
- 1821067745