NPIMap

Individual provider Active NPI

Dianna L Malkowski, PA

  • Physician Assistant
  • Oshkosh, WI
National Provider Identifier
1811194699
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2154 Issued in WI
Practice address
2700 W 9TH Ave Ste 203
Oshkosh, WI 54904-7864
Phone
(920) 738-2000
NPI assigned
Jun 27, 2007
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2154 WI Primary

Addresses

Primary practice location

2700 W 9TH Ave Ste 203
Oshkosh, WI 54904-7864

Mailing address

2700 W 9TH Ave Ste 203
Oshkosh, WI 54904-7864
Phone (920) 738-2000

Other identifiers 1

IdentifierTypeStateIssuer
41940000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000725 WI Practitioner - Physician Assistant 2365534724 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 223-7000

2601 Touchmark Dr
Appleton, WI 54914-8785
Phone (920) 666-2639

2700 W 9TH Ave
Oshkosh, WI 54904-7247

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

916 E Main St
Winneconne, WI 54986-9782
Phone (920) 582-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2154WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc CurrentSince May 21, 2019 Accepting new patients
Butte Des Morts Pathology, S.C. Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 12, 2019 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 31, 2019 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 8, 2019 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 8, 2019 Accepting new patients
Thedacare, Incorporated Past Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

2700 W 9th Ave
Ste 101
Oshkosh, WI 54904
Phone (920) 223-4970

2700 W 9th Ave
Ste 203
Oshkosh, WI 54904
Phone (920) 223-2727

2725 Jackson St
Oshkosh, WI 54901
Phone (920) 223-7500

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1811194699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE STE 203",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047864",
            "telephone_number": "920-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE STE 203",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047864",
            "telephone_number": "920-738-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKOWSKI",
        "first_name": "DIANNA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41940000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.