AMY M. KOEPKE (APNP) – Family Nurse Practitioner, NPI 1134479421

AMY M. KOEPKE (APNP) is a healthcare provider. based in New richmond, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 5026-33 (WI). The NPI Number for AMY M. KOEPKE (APNP) is 1134479421

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMY M. KOEPKE (APNP)
NPI
1134479421
Phone
(715) 243-2600
Address
535 Hospital Rd
Enumeration Date
13 September 2012
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152432600
Graduation Year
2012 (14 years ago)
PAC ID
5496904948
Group Practice PAC ID
2264490960
Professional Enrollment ID
I20120927000468
Address ID
WI540171449NE535XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
amy.lavin.1@10114.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

6,066 NURSE PRACTITIONER in WI

Provider Addresses for AMY M. KOEPKE (APNP)

  • 535 Hospital Rd

    New Richmond, WI 540171449

    Phone: (715) 243-2600

    Type: Location

  • 240 MAPLE ST

    WOODRUFF, WI 545689190

    Phone: (715) 356-8920

    Type: Mailing

  • 535 HOSPITAL RD

    NEW RICHMOND, WI 540171449

    Phone: (715) 243-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-01-08 • Largest payer in this snapshot: Vertical Pharmaceuticals, LLC ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-08

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: 2025-06-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120927000468INurse PractitionerWITBD
I20250610000934INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54017)

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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: 2264490960View full group profile
NameSpecialtyState
Family PracticeMN
Physician AssistantWI
Internal MedicineMN
Hospitalist, Internal MedicineMN
Family PracticeMN
O T O L A R Y N G O L O G YMN
Certified Registered Nurse Anesthetist (Crna)WI
Family PracticeWI
Family PracticeWI
Family PracticeWI

Reviews

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Frequently asked questions

What federal number belongs to AMY M. KOEPKE (APNP)?
The federal identifier for AMY M. KOEPKE (APNP) is NPI 1134479421.
Is AMY M. KOEPKE (APNP)'s NPI currently valid?
The extract we use shows AMY M. KOEPKE (APNP) as active.
What kind of provider is AMY M. KOEPKE (APNP)?
The page reflects Family Nurse Practitioner for AMY M. KOEPKE (APNP). Clinical services aligned with this taxonomy classification.
Does AMY M. KOEPKE (APNP) practice in Wisconsin?
You will see New Richmond, Wisconsin on file for AMY M. KOEPKE (APNP) alongside any extra practice locations.
Is AMY M. KOEPKE (APNP) a real provider?
This page reflects official NPPES data for NPI 1134479421. Always confirm identity and privileges with the practice and licensing boards.

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