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

Mikaela Jean Koenig

Individual provider Family Medicine Physician · NPI 1609253806

Mikaela Jean Koenig is a Family Practice in Wagner, South Dakota. Graduated from University of Nebraska College of Medicine in 2015, 11 years ago. Practices with Wagner Community Memorial Hospital, a 16-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
11
Trained at
University of Nebraska College of Medicine
Licensed in
SD
In the registry since
2015

Practice location Address checks out

513 3rd St SW
Wagner, SD 57380-9675
Phone: (605) 384-3418
Fax: (605) 384-5240
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11242 (SD)

Record details

NPI number1609253806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Wagner Community Memorial Hospital — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wagner