MRS. LORA LEA KOENIG – Family Nurse Practitioner, NPI 1912419623

MRS. LORA LEA KOENIG is a healthcare provider. based in Pavillion, Wyoming. specializing in NURSE PRACTITIONER. They hold a License No. 20484 (WY). The NPI Number for MRS. LORA LEA KOENIG is 1912419623

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
MRS. LORA LEA KOENIG
NPI
1912419623
Phone
(307) 856-7970
Address
PO BOX 10
Enumeration Date
3 November 2017
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077464491
Graduation Year
2017 (9 years ago)
PAC ID
7214344902
Group Practice PAC ID
0042293276
Professional Enrollment ID
I20220408000301
Address ID
WY827012972NE1124XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:8State licenses:3Digital endpointsOther names

596 NURSE PRACTITIONER in WY

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Provider Addresses for MRS. LORA LEA KOENIG

  • 7733, The Pavillion, Baymeadows, Jacksonville, Duval County, Florida, 32256, United States

    223 NORTH CHERRY STREET

    PAVILLION, WY 82523

    Phone: (307) 856-7970

    Fax: (307) 856-8641

    Type: Mailing

  • 5000 BLACKMORE RD

    CASPER, WY 826093345

    Phone: (307) 233-6000

    Fax: (307) 233-6089

    Type: Mailing

  • Rose Lane, Riverton, Fremont County, Wyoming, 82501, United States

    RIVERTON, WY 825012291

    Phone: (307) 233-6000

    Fax: (307) 233-6089

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Exact Sciences Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2022-04-08

PECOS data refreshed: 2026-05-27

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
I20210324003054INurse PractitionerWYTBD
I20220408000301INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes128103$0
99214Established patient office or other outpatient visit, 30-39 minutes4440$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2925$0
81001Manual urinalysis test with examination using microscope, automated2624$0
87088Bacterial urine culture2220$0
View full utilization report →

Insurance plans in this area (ZIP 82523)

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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: 0042293276View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MRS. LORA LEA KOENIG in the U.S.?
In the U.S., MRS. LORA LEA KOENIG is identified by NPI 1912419623.
Is MRS. LORA LEA KOENIG currently accepting referrals based on NPI status?
Registry metadata lists MRS. LORA LEA KOENIG as active.
What type of care does MRS. LORA LEA KOENIG provide?
MRS. LORA LEA KOENIG's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. LORA LEA KOENIG tied to Pavillion, Wyoming?
If you are local to Pavillion, Wyoming, MRS. LORA LEA KOENIG may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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