Active NPI
Melissa Koss, APNP
- Nurse Practitioner
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6633
- Practice address
- 1650 S 41St St
Manitowoc, WI 54220-7316 - Phone
- (920) 320-3185
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6633 | WI | Primary |
Addresses
Primary practice location
1650 S 41St St
Manitowoc, WI 54220-7316
Mailing address
1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-3185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436
1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-2011
3736 S Taylor Dr
Sheboygan, WI 53081-8432
Phone (920) 476-6300
Hospital & facility affiliations
- Holy Family Memorial
- Froedtert Memorial Lutheran Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6633 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Medical SC | Current | Accepting new patients | |
| Maple Medical SC | Current | Accepting new patients | |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients |
Locations
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
1635 S 21st St
Manitowoc, WI 54220
Phone (920) 320-2011
1235 S 24th St
Manitowoc, WI 54220
Phone (920) 320-6620
1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100
2021 S Alverno Rd
Manitowoc, WI 54220
Phone (732) 961-8491
339 Reed Ave
Manitowoc, WI 54220
Phone (920) 320-8600
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
800 Lakefront Way
Two Rivers, WI 54241
Phone (920) 320-2011
N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Interoperability endpoints
- mkoss544113@direct.froedtert.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Physical Medicine & Rehabilitation Physician
- Waukesha, WI
- NPI 1487152104
-
- Internal Medicine Physician
- Waukesha, WI
- NPI 1669910345
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- 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": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1437527389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S 41ST ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542207316",
"telephone_number": "920-320-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 S 41ST ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542207316",
"telephone_number": "920-320-3185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSS",
"first_name": "MELISSA",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6633",
"primary": true
}
],
"identifiers": [],
"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 Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.