Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Marjory D Koppelman

Individual provider Family Nurse Practitioner · NPI 1619690682

Marjory D Koppelman is a Nurse Practitioner in Moville, Iowa. Qualified in 2022, 4 years ago. Practices with Sikeston Emergency Group LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Licensed in
IA
In the registry since
2022
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Practice location Address checks out

69 Pinney Rd
Moville, IA 51039-7500
Phone: (515) 402-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1008 N Main St, Sikeston, MO 63801-5044 — (573) 471-1600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A171240 (IA)

Record details

NPI number1619690682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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 Sikeston Emergency Group Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients176
Services billed 197 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Sikeston Emergency Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 19 clinicians in the practice; 12 are shown here.

Other providers in Moville