Kordell Koepnick, PA
NPI 1770289621 · Physician Assistant · Boise, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kordell Koepnick, PA is a Physician Assistant provider in Boise, ID (NPI 1770289621).
Provider details
- NPI number
- 1770289621
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA-2450 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
706 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 243 | $87 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 170 | $59 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 120 | $89 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 60 | $60 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 39 | $107 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes |
Practice location
Mailing address
Additional practice locations (2)
- 5200 Meadows Rd Ste 200Lake Oswego, OR 97035-0086Phone: (855) 255-1750Fax: (855) 255-0905
- 413 29th St Ne Ste IPuyallup, WA 98372-7154Phone: (855) 255-1750Fax: (855) 255-0905
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Kordell Koepnick's NPI number?
- Kordell Koepnick's National Provider Identifier (NPI) is 1770289621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kordell Koepnick's specialty?
- Kordell Koepnick is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kordell Koepnick located?
- Kordell Koepnick's practice location on file with NPPES is 500 S 8th St, Boise, ID 83702-7107.
- What is Kordell Koepnick's phone number?
- The practice phone number listed in the NPPES registry for Kordell Koepnick is (855) 255-1750.
- Does Kordell Koepnick accept Medicare?
- Kordell Koepnick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kordell Koepnick's NPI active?
- Yes — Kordell Koepnick's NPI (1770289621) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.