MRS. LISA ANNE KOCH (APRN) – Nurse Practitioner, NPI 1093725905
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for MRS. LISA ANNE KOCH (APRN)
707 N EMPORIA ST
WICHITA, KS 672143707
Phone: (316) 268-5591
Type: Location
848 N SAINT FRANCIS ST STE 2945
WICHITA, KS 672143856
Phone: (316) 268-5591
Fax: (316) 291-7890
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($545).
Total Amount
$545
General + Research + Ownership
Payments
10
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $545 |
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: 2007-12-14
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 |
|---|---|---|---|---|
| I20071214000494 | I | Nurse Practitioner | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 76 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | KS | |
| Anesthesiology, Critical Care (Intensivists) | MO | |
| Anesthesiology, Critical Care (Intensivists) | KS | |
| Rheumatology, Internal Medicine | KS | |
| - | KS | |
| General Surgery | KS | |
| - | KS | |
| Critical Care (Intensivists), Neurology | AZ | |
| Cardiovascular Disease (Cardiology) | KS | |
| Internal Medicine, Infectious Disease | KS |
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