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

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

Practice location Address checks out

69 Pinney Rd
Moville, IA 51039-7500
Phone: (515) 402-6621
Show map & directions

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
Mailing address69 Pinney Rd, Moville, IA 51039-7500

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

Other providers in Moville