Anne I Koplin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31342 Issued in WI

Practice address

1104 John Nolen Dr
Madison, WI 53713-1430

Phone

(608) 259-4386

Fax

(608) 259-4382

NPI assigned

Oct 2, 2006

Last updated

Apr 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Heart Rehabilitation Institute, Inc.

  dba Ascension Sacred Heart Rehabilitation Hospital

  • Rehabilitation Hospital
  • Mequon, WI
  • NPI 1508920356
  NPD (past)
• Thousand Mile Journey LLC

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1699159962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1457444374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 JOHN NOLEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 JOHN NOLEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131430",
            "telephone_number": "608-259-4386",
            "fax_number": "608-259-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLIN",
        "first_name": "ANNE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "31342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31788000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Koontz
• Karen Jo Kopacek
• Katherine E Kopatsis, MD
• Kelly A Kopecki, RDN
• Ryan M. Kopish
• Douglas E Kopp, MD
• Todd L. Koppa, CRNA
• Laura Jean Kopplin, MD, PHD
• Adam Ashraf Koraym, MD
• Randy J Korda, MS, LMFT

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.