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

Jill Marie Koeppen, NP

Individual provider Family Nurse Practitioner · NPI 1427042027

Jill Marie Koeppen, NP is a Nurse Practitioner in Owings Mills, Maryland. Qualified in 2003, 23 years ago. Practices with Lifebridge Community Physicians Inc, a 185-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
23
Licensed in
MD
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10084 Reisterstown Rd Ste 200A
Owings Mills, MD 21117-4096
Phone: (410) 552-5050
Fax: (410) 552-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6190 Georgetown Blvd, Eldersburg, MD 21784-6460 — (410) 552-5050

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R149853 (MD)

Record details

NPI number1427042027
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lifebridge Community Physicians Inc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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