Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Koenck, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1467925388

Kelly Marie Koenck, NURSEPRACTITIONER is a Nurse Practitioner in Lineville, Iowa. Qualified in 2018, 8 years ago. Practices with Wayne County Hospital, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Missouri.

Years since qualifying
8
Licensed in
IA, MO
In the registry since
2019
Specialties on file
3

Practice location Address checks out

101 Main St
Lineville, IA 50147-8517
Phone: (641) 876-2070
Fax: (641) 876-2458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 417 S East St, Corydon, IA 50060-1865 — (641) 872-2063

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019000931 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A155691 (IA)
Registered Nurse Taxonomy 163W00000X · Licence 2007032679 (MO)

Record details

NPI number1467925388
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wayne County Hospital — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Wayne County Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 45 clinicians in the practice; 12 are shown here.

Other providers in Lineville