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

Nicole L Koch, CRNP

Individual provider Nurse Practitioner · NPI 1265940969

Nicole L Koch, CRNP is a Nurse Practitioner in Bartonsville, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3565 Route 611 Ste 300
Bartonsville, PA 18321-7832
Phone: (272) 212-0105
Fax: (833) 222-9417
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP018424 (PA)

Record details

NPI number1265940969
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 16, 2018
Last updated in NPPESJanuary 16, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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