Individual provider Active NPI

Barbara J Koschak, APNP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1629033873
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2241033 Issued in WI
Practice address
621 Science Dr
Madison, WI 53711-1074
Phone
(608) 265-3207
Fax
(608) 263-4995
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2241033 WI Primary

Addresses

Primary practice location

621 Science Dr
Madison, WI 53711-1074

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000426 WI Practitioner - Nurse Practitioner 6507827557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

621 Science Dr
Madison, WI 53711-1074
Phone (608) 263-8400

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2241WIMDClinical Neuropsychologist
2241033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, SC CurrentSince Jan 1, 2012 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 2015 Accepting new patients
Advanced Pain Management SC CurrentSince Jan 1, 2012 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 2015 Accepting new patients

Locations

1950 Center Creek Dr
Ste 100
Fairmont, MN 56031
Phone (507) 238-4968

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

621 Science Dr
Madison, WI 53711
Phone (608) 263-8850

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

301 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

333 Pine Ridge Blvd
Ste 320
Wausau, WI 54401

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1629033873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SCIENCE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111074",
            "telephone_number": "608-265-3207",
            "fax_number": "608-263-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHAK",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2241033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.