Kristen A Kopatich Pasewald, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3521 Issued in WI

Practice address

2801 W Kinnickinnic River Pkwy
Ste 435
Milwaukee, WI 53215-3669

Phone

(414) 258-0670

NPI assigned

Oct 3, 2008

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rihawi MD SC

  • Pulmonary Disease Physician
  • Milwaukee, WI
  • NPI 1790307080
  Medicare reassignment NPD

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1659522068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KK RIVER PKWY",
            "address_2": "STE 445",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532155215",
            "telephone_number": "414-588-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "STE 435",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-258-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPATICH PASEWALD",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer I Koop Olsta, PHD
• Laura R Koop, PHARMD
• Cynthia A Koopmeiners, PA
• Robin John Koopmeiners
• Katelyn Renee Kopacko, CRNP, FNP-BC
• Jeffrey William Kopesky, MS, CGC
• Mark Kopetsky
• Queena Kopka, R.N.
• Tom Kopka, LCSW
• Stephanie A Koplin, M.D.

• Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.