JO S KOEPSEL (PMHWP) – Family Nurse Practitioner, NPI 1104885086

JO S KOEPSEL (PMHWP) is a healthcare provider. based in Corpus christi, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHWP. They hold a License No. 232350 (TX). The NPI Number for JO S KOEPSEL (PMHWP) is 1104885086

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JO S KOEPSEL (PMHWP)
NPI
1104885086
Phone
(361) 452-1151
Address
5440 OLD BROWNSVILLE RD.
Enumeration Date
21 March 2006
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3614521151
Graduation Year
2004 (22 years ago)
PAC ID
1557366234
Group Practice PAC ID
3072893726
Professional Enrollment ID
I20061002000620
Address ID
TX784179765CO5440XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for JO S KOEPSEL (PMHWP)

  • 5440, Old Brownsville Road, Corpus Christi, Nueces County, Texas, 78417, United States

    CORPUS CHRISTI, TX 78417

    Phone: (361) 452-1151

    Fax: (361) 452-1517

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 339 Open Payments records for all available years, with a total value of $6,756.

Total Amount is formed as General ($6,756) + Research ($0) + Ownership ($0) = $6,756.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($1,306).

Total Amount

$6,756

General + Research + Ownership

Payments

339

Total payment records

General Amount

$6,756

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

View all Open Payments →|Open Payments Risk Radar →

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: 2006-10-02

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
I20061002000620INurse PractitionerTXTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes28897$0
99215Established patient office or other outpatient visit, 40-54 minutes12453$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes1717$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 78417)

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Provider's Procedures

JO S KOEPSEL (PMHWP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTX90792Psychiatric diagnostic evaluation with medical services150150

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: 3072893726View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Physician Assistant, Clinical PsychologistTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JO S KOEPSEL (PMHWP)?
JO S KOEPSEL (PMHWP) — NPI 1104885086 — is the standard way to identify this listing.
Can I rely on JO S KOEPSEL (PMHWP) being an active provider?
As of the registry snapshot, JO S KOEPSEL (PMHWP) is marked active.
What is JO S KOEPSEL (PMHWP)'s specialty?
The listing groups JO S KOEPSEL (PMHWP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JO S KOEPSEL (PMHWP) based?
JO S KOEPSEL (PMHWP) is tied to Corpus Christi, Texas in the data we show; additional addresses may exist on the full record.
Why does JO S KOEPSEL (PMHWP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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