JACQUELINE M KOSKI D.O.
NPI 1417185232
Family Medicine in Neenah, WI

Active since July 01, 2009Opted out of Medicare · through Apr 25, 2027
163 E NORTH WATER ST, NEENAH, WI 54956(920) 215-0022(920) 921-3500 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2023, Feb 14, 2022, Dec 2, 2021 and 1 more (4 updates tracked since 2015).

About Jacqueline M Koski D.o. NPPES

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

JACQUELINE M KOSKI D.O. (NPI 1417185232) is an individual family medicine provider in Neenah, Wisconsin, licensed in Michigan (5101018350) and active in the NPI registry since July 2009. She has opted out of Medicare through April 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417185232
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE M KOSKICredential: D.O.
Location Address163 E NORTH WATER STNeenah, WI 54956-2708
Mailing Address532 Emerson StNeenah, WI 54956-4674 · (920) 215-0022
Fax(920) 921-3500
Sole ProprietorYes
Enumeration DateJuly 1, 2009
Last NPPES UpdateApril 20, 20234 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1417185232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MI · 5101018350 Licensed in WI · 59923-21
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

163 E NORTH WATER ST, Neenah, WI 54956

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacqueline M Koski D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2023 through April 25, 2027.

Opt-Out Effective DateApril 25, 2023
Opt-Out In Effect ThroughApril 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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 2

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

Chiropractor
163 E NORTH WATER ST
NEENAH, WI 54956
Chiropractor
163 E NORTH WATER ST
NEENAH, WI 54956

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 Jacqueline Koski's NPI number?

The NPI number for Jacqueline Koski is 1417185232. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Jacqueline Koski located?

Jacqueline Koski practices at 163 E North Water St, Neenah, WI 54956. The listed phone number is (920) 215-0022.

What is Jacqueline Koski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Koski enrolled in Medicare?

No. Jacqueline Koski has opted out of Medicare through April 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacqueline Koski was last updated on April 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.