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ERIN KOOIMA
NPI 1013652130
Nurse Practitioner - Neonatal, Critical Care in Madison, WI

Active since May 03, 2022PECOS Enrolled
202 S PARK ST, MADISON, WI 53715(608) 417-6236(608) 417-6377 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Apr 5, 2024, Jan 5, 2024 and 3 more (6 updates tracked since 2022).

About Erin Kooima NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN KOOIMA (NPI 1013652130) is an individual neonatal, critical care provider in Madison, Wisconsin, licensed in Wisconsin (11917) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013652130
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameERIN KOOIMA
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 417-6236
Fax(608) 417-6377
Sole ProprietorNo
Enumeration DateMay 3, 2022
Last NPPES UpdateApril 9, 20246 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1013652130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in WI · 11917
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 11917 (WI)
202 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-6820 · Fax (414) 266-6979
Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-5800 · Fax (414) 805-8097

Other Identifiers 1

Medicaid1013652130WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Kooima is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Kooima's NPI number?

The NPI number for Erin Kooima is 1013652130. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Erin Kooima located?

Erin Kooima practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-6236.

What is Erin Kooima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Erin Kooima enrolled in Medicare?

Yes. Erin Kooima is registered in the Medicare PECOS enrollment system.

What insurance does Erin Kooima accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and HealthPartners list Erin Kooima as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erin Kooima was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.