Marjory D. Koppelman
NPI 1619690682ActiveIndividual· Nurse Practitioner, Family· Moville, IA
Nurse Practitioner, Family with Trinity Medical Center and 4 other groups, practicing in Moville, Iowa. 176 Medicare patients in 2024, $18,237 paid; nearly all of their 196 Part D prescriptions were generic (96%). Lists Lake Regional Health System and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1619690682 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 23, 2022 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A171240 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA); Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 197 across 9 procedure codes |
| Paid by Medicare | $18,237 |
Part D prescriptions in 2024
| Prescriptions (claims) | 196 · 196 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $1,358 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Trinity Medical CenterRock Island, IL · 99 clinicians
- Camden Emergency Group LLCOsage Beach, MO · 31 clinicians
- Potosi Emergency Group, LLCPotosi, MO · 19 clinicians
- Woodbury Emergency Group, PCSioux City, IA · 17 clinicians
- Sikeston Emergency Group LLCSikeston, MO · 17 clinicians
Hospital affiliations
- Lake Regional Health SystemOsage Beach, MO
- Missouri Delta Medical CenterSikeston, MO
- St Lukes Regional Medical CenterSioux City, IA
- Trinity - BettendorfBettendorf, IA
- Washington County Memorial HospitalPotosi, MO
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 Moville
- 1639691322