Jessica Anne Koupal, DNP-FNP, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Blackhawk, South Dakota. Jessica Anne Koupal is licensed to practice in South Dakota (license number CP001656) and her current practice location is
8000 Black Hawk Rd Ste 4, Blackhawk, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 431-3388.
NPI number for Jessica Anne Koupal is 1306488333 and her current mailing address is 8000 Black Hawk Rd Ste 4, Black Hawk, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306488333.
Provider's Profile
| Full Name | Jessica Anne Koupal |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 8000 Black Hawk Rd Ste 4, Blackhawk, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306488333
- Provider Enumeration Date: 10/10/2019
- Last Update Date: 09/07/2023
Medical Identifiers
Medical identifiers for Jessica Anne Koupal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306488333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CP001656 (South Dakota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CP001656 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Anne Koupal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Anne Koupal, DNP-FNP, PMHNP
8000 Black Hawk Rd Ste 4,
Black Hawk, SD 57718-3315
Ph: (605) 431-3388 | Jessica Anne Koupal, DNP-FNP, PMHNP
8000 Black Hawk Rd Ste 4,
Blackhawk, SD 57718
Ph: (605) 431-3388 |
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