MANDY KOEKEMOER – Family Nurse Practitioner, NPI 1164086559
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
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Provider Addresses for MANDY KOEKEMOER
1900, Stillwater Drive, Jonesboro, Craighead County, Arkansas, 72404, United States
JONESBORO, AR 724049119
Phone: (870) 932-3600
Type: Mailing
806, Glendale Street, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 724014455
Phone: (870) 932-9600
Type: Location
4713 WINGED FOOT LN
JONESBORO, AR 724058050
Phone: (870) 243-0418
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $743.
Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: ABBVIE INC. ($254).
Total Amount
$743
General + Research + Ownership
Payments
16
Total payment records
General Amount
$743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $254 |
| Gilead Sciences, Inc. | $124 |
| GlaxoSmithKline, LLC. | $101 |
| Amgen Inc. | $89 |
| Neurelis, Inc. | $88 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20260220002167 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | MA |
Reviews
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