Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336656537 Individual Practitioner Female Practitioner

Victoria Koch , APRN

Nurse Practitioner • Mount Vernon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Victoria Koch, APRN is a certified Nurse Practitioner practicing in Mount Vernon, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Victoria Koch delivers high-quality medical care to the local community at 602 S 42ND ST.

Victoria Koch is affiliated with Northeast Texas Emergency Physicians Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

602 S 42nd St

Mount Vernon, IL 628646264

Telephone 6188993278
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Vernon, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +2.3 yrs vs City Avg
City Avg: 6.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Mount Vernon, IL (4929 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koch (9 Years) 9 Yrs
Mount Vernon Specialty Average (6.7 Years) 6.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
110 11 $7.00 $0.11
99213 Established patient office or other outpatient visit, typically 15 minutes
55 54 $270.00 $72.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
13 12 $63.00 $11.42

Medical Specialties & State Licenses

CMS Verified: 2020-10-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209016821

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MO 2017038330

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Northeast Texas Emergency Physicians Pllc

323 E Hawkins Pkwy, Longview, TX 756058153

Phone: 9035446700

Secondary Practice Locations

1300 N Market St

Sparta, IL 622861048

Phone: 6184431337

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1205455763

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Nicole Lewis , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1982123899

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location October 20, 2020

Registered at 602 S 42ND ST, MOUNT VERNON, IL 628646264 (Tel: 6188993278)

📍
Updated Business Mailing Address October 20, 2020

Registered at PO BOX 955860, SAINT LOUIS, MO 631951048 (Tel: 6364985944)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Nurse Practitioner (License #2017038330 in MO)

📍
Updated Practice Location June 04, 2020

Registered at 1300 N MARKET ST, SPARTA, IL 622861048 (Tel: 6184431337)

📍
Updated Business Mailing Address June 04, 2020

Registered at 1300 N MARKET ST, SPARTA, IL 622861048 (Tel: 6184431337)

👤
Provider Name / Credentials Updated June 04, 2020

Recorded as VICTORIA KOCH, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2020

Nurse Practitioner (License #209016821 in IL)

NPI Profile Active March 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2018

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182337750)

📍
Updated Business Mailing Address March 12, 2018

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360

👤
Provider Name / Credentials Updated March 12, 2018

Recorded as VICTORIA KOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2018

Nurse Practitioner (License #2017038330 in MO)

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2018

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182337750)

📍
Updated Business Mailing Address January 09, 2018

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as VICTORIA KOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Nurse Practitioner (License #209016821 in IL)

🟢
Initial NPI Registration & Enumeration January 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336656537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2018
Last Update: October 20, 2020
Sole Proprietor: No

Mailing Address

Po Box 955860

Saint Louis, MO 631951048

Phone: 6364985944

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.