Active NPI
Susan F Koehler, APNP
- Obstetrics Physician
- Manitowoc, WI
National Provider Identifier
1366550436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 1078
- Practice address
- 600 York St
Manitowoc, WI 54220-6845 - Phone
- (920) 320-6705
- Fax
- (920) 320-6701
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1078 | WI | |
| Gynecology Physician | 207VG0400X | 1078 | WI | |
| Obstetrics Physician | 207VX0000X | 1078 | WI | Primary |
| Nurse Practitioner | 363L00000X | 1078 | WI |
Addresses
Primary practice location
600 York St
Manitowoc, WI 54220-6845
Mailing address
600 York St
Manitowoc, WI 54220-6845
Phone (920) 320-6705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43920200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1078 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Family Memorial Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366550436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542206845",
"telephone_number": "920-320-6705",
"fax_number": "920-320-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542206845",
"telephone_number": "920-320-6705",
"fax_number": "920-320-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "SUSAN",
"middle_name": "F",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "1078",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WI",
"license": "1078",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WI",
"license": "1078",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "1078",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43920200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.