Alice Koech, A-GNP-C
NPI 1669105656ActiveIndividual· Nurse Practitioner· Roseburg, OR
Nurse Practitioner (A-GNP-C) with Intermountain Medical Group Grand Junction, LLC, practicing in Roseburg, Oregon. Their prescriptions cost Medicare Part D more than their services did: $40,487 for 645 claims, against $756.33 paid for services in 2024. Lists Delta County Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1669105656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A-GNP-C |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2022 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10000878 | OR |
| Nurse Practitioner, Adult Health | 363LA2200X | AP61327739 | WA |
| Nurse Practitioner, Gerontology | 363LG0600X | AP61327739 | WA |
| Nurse Practitioner, Primary Care | 363LP2300X | AP61327739 | WA |
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 (CO); Practitioner - Nurse Practitioner (OR); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 17 across 6 procedure codes |
| Paid by Medicare | $756.33 |
Part D prescriptions in 2024
| Prescriptions (claims) | 645 · 986 30-day fills |
|---|---|
| Patients | 305 |
| Total drug cost | $40,487 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Intermountain Medical Group Grand Junction, LLCGrand Junction, CO · 296 clinicians
Hospital affiliations
- Delta County Memorial HospitalDelta, CO
- Intermountain Health St. Mary's Regional HospitalGrand Junction, CO
- Montrose Regional HealthMontrose, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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