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

Jessica Anne Koupal, DNP-FNP, PMHNP

Individual provider Family Nurse Practitioner · NPI 1306488333

Jessica Anne Koupal, DNP-FNP, PMHNP is a Nurse Practitioner in Blackhawk, South Dakota. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

8000 Black Hawk Rd Ste 4
Blackhawk, SD 57718
Phone: (605) 431-3388
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CP001656 (SD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CP001656 (SD)

Record details

NPI number1306488333
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP , PMHNP
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare