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

Susan J. Koenig

Individual provider Nurse Practitioner · NPI 1063846731

Susan J. Koenig is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
13
Licensed in
CO
In the registry since
2013
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Practice location Address checks out

3843 Rio Vista Dr Ste 2400
Colorado Springs, CO 80917-3379
Phone: (719) 364-5590
Fax: (719) 364-5591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1400 E Boulder St, Colorado Springs, CO 80909-5533 — (303) 306-7783
  • 8540 Scarborough Dr Ste 100, Colorado Springs, CO 80920-7518 — (719) 364-6970

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0990800 (CO)

Record details

NPI number1063846731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Colorado Springs