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

Mandy Koekemoer

Individual provider Registered Nurse · NPI 1164086559

Mandy Koekemoer is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2022, 4 years ago. Practices with Renew Mental Health and Wellness LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4713 Winged Foot Ln
Jonesboro, AR 72405-8050
Phone: (870) 243-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 222001 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R69806 (AR)

Record details

NPI number1164086559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESNovember 6, 2022
Certification dateNovember 6, 2022
Mailing address4713 Winged Foot Ln, Jonesboro, AR 72405-8050

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Renew Mental Health And Wellness Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jonesboro