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MS. HEIDI J KOHLER PA-C
NPI 1225089063
Physician Assistant in West Allis, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
8905 W LINCOLN AVE, DIVISON OF ENDOCRINOLOGY, WEST ALLIS, WI 53227(414) 328-6000(414) 328-8536 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2021, Jan 12, 2018 (2 updates tracked since 2018).

About Ms. Heidi J Kohler Pa-c NPPES

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

MS. HEIDI J KOHLER PA-C (NPI 1225089063) is an individual physician assistant in West Allis, Wisconsin, licensed in Wisconsin (1295) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1225089063
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. HEIDI J KOHLERCredential: PA-C
Location Address8905 W LINCOLN AVE, DIVISON OF ENDOCRINOLOGYWest Allis, WI 53227-2468
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 328-6000
Fax(414) 328-8536
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1225089063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1295
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8905 W LINCOLN AVE, West Allis, WI 53227
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Other Identifiers 2

Medicaid1225089063WI
Medicaid42882700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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 and accepts Medicare assignment

Ms. Heidi J Kohler Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799792727
PECOS Enrollment IDI20060315000453
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers36 claims40 services$188.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHELLE J. RICK R.N., NP-C
Nurse Practitioner
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
KAREN E. DOBBS M.D.
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
STACY MICHELLE SYRCLE MD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
TAYLOR GEIER MD
Obstetrics & Gynecology
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
CHERYL ANN JAEGER CNM
Advanced Practice Midwife
8905 W LINCOLN AVE, SUITE 515
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
SCOTT A KAMELLE MD
Obstetrics & Gynecology (Gynecologic Oncology)
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 329-5651
DR. SUSAN L DARMSTADTER M.D.
Internal Medicine (Pulmonary Disease)
8905 W LINCOLN AVE, STE 401
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8270
LISA B. LLOYD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229

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 Heidi Kohler's NPI number?

The NPI number for Heidi Kohler is 1225089063. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Heidi Kohler located?

Heidi Kohler practices at 8905 W Lincoln Ave Divison Of Endocrinology, West Allis, WI 53227. The listed phone number is (414) 328-6000.

What is Heidi Kohler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heidi Kohler enrolled in Medicare?

Yes. Heidi Kohler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heidi Kohler accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Heidi Kohler 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.

Is Heidi Kohler affiliated with any hospitals?

According to CMS data, Heidi Kohler is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Kohler was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.