MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1528392024

MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) is a healthcare provider. based in Rolla, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. 2001015695 (MO). The NPI Number for MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) is 1528392024

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC)
NPI
1528392024
Phone
(888) 403-1071
Address
1450 E 10th St
Enumeration Date
30 September 2009
Last Update Date
30 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8884031071
Graduation Year
2009 (17 years ago)
PAC ID
7618018151
Group Practice PAC ID
1951206754
Professional Enrollment ID
I20100106000655
Address ID
MO654013648RO1450XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
aschulte97293@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

7,023 NURSE PRACTITIONER in MO

Provider Addresses for MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC)

  • 1450 E 10th St

    Rolla, MO 654013648

    Phone: (888) 403-1071

    Type: Location

  • 210, Northeast Tudor Road, AMLI Summit Ridge, Lee's Summit, Jackson County, Missouri, 64086, United States

    LEES SUMMIT, MO 640865696

    Phone: (888) 256-3814

    Fax: (888) 256-9054

    Type: Mailing

  • Fulton Medical Center, 10, South Hospital Drive, Fulton, Callaway County, Missouri, 65251, United States

    FULTON, MO 652512510

    Phone: (573) 592-6550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100106000655INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12152$0
99214Established patient office or other outpatient visit, 30-39 minutes5428$0
90792Psychiatric diagnostic evaluation with medical services1111$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951206754View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC)?
The federal identifier for MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) is NPI 1528392024.
Is MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC). Clinical services aligned with this taxonomy classification.
Does MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) practice in Missouri?
You will see Rolla, Missouri on file for MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC) alongside any extra practice locations.
How can I contact MS. ABIGAIL NICOLE KOETTING (MSN, APRN, FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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