Jordan L Koebele, CRNP
Nurse Practitioner in West Reading, PA. Individual provider (NPI-1).
NPI number1215515366
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1215515366
- Entity type
- Individual (NPI-1)
- Name
- Jordan L Koebele
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP022888 | PA | Yes |
Practice location
420 S 5th AveWest Reading, PA 19611-2143
Phone 484-628-8000
Mailing address
Po Box 13579Reading, PA 19612-3579
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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