Active NPI
Michelle Koepp, RN
- Forensic Pathology Physician
- Hudson, WI
National Provider Identifier
1396539565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 1111786
- Practice address
- 1200 Hosford St Ste 203
Hudson, WI 54016-9316 - Phone
- (715) 425-6443
- NPI assigned
- Apr 4, 2025
- Last updated
- Apr 4, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 1111786 | WI | Primary |
Addresses
Primary practice location
1200 Hosford St Ste 203
Hudson, WI 54016-9316
Mailing address
214 W Main St
United States
Balsam Lake, WI 54810
Phone (715) 553-0554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Michellek@stcroixvalleysart.org |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111786 | WI | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1396539565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W MAIN ST",
"address_2": "UNITED STATES",
"city": "BALSAM LAKE",
"state": "WI",
"postal_code": "54810",
"telephone_number": "715-553-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HOSFORD ST STE 203",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169316",
"telephone_number": "715-425-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPP",
"first_name": "MICHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "WI",
"license": "1111786",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Michellek@stcroixvalleysart.org",
"affiliation": "N",
"address_1": "1200 Hosford St Ste 203",
"city": "Hudson",
"state": "WI",
"country_code": "US",
"postal_code": "540169316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.