MEDICARE: ABIGAIL MCDONALD KOEHLER ACNPC-AG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	APN.0997761-NP	CO
2	363LA2100X	Acute Care Nurse Practitioner	GAA-NP003831	GA

General Provider Information

NPI Number	:	1235863119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MCDONALD KOEHLER ACNPC-AG

Provider Business Mailing Address
First Line	:	1900 LITTLE RAVEN ST APT 303
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-7168
Country	:	US
Telephone Number	:	860-461-8497
Fax Number	:

Provider Business Practice Location Address
First Line	:	10900 SMITH RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3262
Country	:	US
Telephone Number	:	303-371-4804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	12/11/2025

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