Active NPI
Tricia A Koch, A.P.N.P.
- Nurse Practitioner
- Neenah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 124650-030
- Practice address
- 1265 W American Dr Ste 100
Neenah, WI 54956 - Phone
- (920) 722-7747
- NPI assigned
- Sep 12, 2006
- Last updated
- Aug 15, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 124650-030 | WI | Primary |
Addresses
Primary practice location
1265 W American Dr Ste 100
Neenah, WI 54956
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 886-8979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124650-030 | Other | WI | STATE LICENSE - WI |
| 1538263223 | Medicaid | WI |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 County Rd B
Shawano, WI 54166-7072
Phone (920) 735-7300
1265 W American Dr
Suite 100
Neenah, WI 54956-1405
Phone (920) 886-8979
130 2ND St
Neenah, WI 54956-2883
Phone (920) 725-0077
1370 N Shawano St
Suite a
New London, WI 54961-7943
Phone (920) 886-8979
1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000
1405 S Mill St
New London, WI 54961-2155
Phone (920) 831-5050
1818 N Meade St
Appleton, WI 54911-3454
1818 N Meade St Room
N255
Appleton, WI 54911-3454
Phone (920) 730-3383
225 Memorial Dr
Berlin, WI 54923-1243
3 Neenah Ctr
Neenah, WI 54956-3070
4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800
600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077
900 E Grant St
Thedacare Orthopedic Care
Appleton, WI 54911-3454
Phone (920) 831-5050
W5282 Amy Ave
Appleton, WI 54915-7233
Phone (920) 358-1900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2169 | WI | MD | Medical Physician Assistant |
| 124650-030 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of Wisconsin S.C. | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Wisconsin Institute of Urology SC | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Past | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
100 Theda Clark Medical Plz
Neenah, WI 54956
Phone (920) 722-7747
100 Theda Clark Medical Plz
#A300
Neenah, WI 54956
100 Theda Clark Medical Plz
Ste 300
Neenah, WI 54956
Phone (920) 722-7747
100 Theda Clark Medical Plz
Ste A300
Neenah, WI 54956
1265 West American Dr
#100
Neenah, WI 54956
Phone (920) 722-7747
200 Theda Clark Medical Plz
Ste 310
Neenah, WI 54956
Phone (920) 722-7747
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1370 N Shawano St
Ste A
New London, WI 54961
Phone (920) 531-1100
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- tkoch25923@direct.thedacare.org
Organizations & group practices 5
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.
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Urology Physician
- Neenah, WI
- NPI 1578872628
-
- Urology Physician
- Neenah, WI
- NPI 1053345983
-
dba Community Health Network, Inc and Berlin Memorial Hospital
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
-
dba ThedaCare Medical Center Orthopedics, Spine, and Pain
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
-
dba WI Veterans Village Physical Therapy
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
-
dba ThedaCare Medical Center - Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
-
dba ThedaCare Medical Center - Oshkosh
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1538263223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-886-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 W AMERICAN DR STE 100",
"city": "NEENAH",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-722-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "TRICIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "A.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "124650-030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - WI",
"identifier": "124650-030",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538263223",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.