TODD L. KOPPA CRNA
NPI 1619215001
Nurse Anesthetist, Certified Registered in Madison, WI
About Todd L. Koppa Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TODD L. KOPPA CRNA (NPI 1619215001) is an individual nurse anesthetist, certified registered in Madison, Wisconsin, licensed in Wisconsin (134721-030) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Todd L. Koppa Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Todd Koppa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 35 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- 1,273 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Clare Hospital - Baraboo
Acute Care Hospitals · Baraboo, WISsm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIPhysician 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.
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.
MADISON, WI 53715
MADISON, WI 53715
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 Todd Koppa's NPI number?
The NPI number for Todd Koppa is 1619215001. It was assigned to this individual provider in the NPPES registry on January 21, 2013.
Where is Todd Koppa located?
Todd Koppa practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 251-6100.
What is Todd Koppa's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Todd Koppa enrolled in Medicare?
Yes. Todd Koppa 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.
Which organizations bill Medicare for Todd Koppa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Koppa reassigns Medicare benefits to 4 organizations: Ssm Health Care Of Wisconsin, Inc. (Madison, WI), Dean Health Systems, Inc (Madison, WI), Rockford Health Physicians (Rockford, IL) and Flambeau Hospital Inc (Park Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Koppa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Todd Koppa affiliated with any hospitals?
According to CMS data, Todd Koppa is affiliated with Ssm Health St Clare Hospital - Baraboo and Ssm Health St Mary's Hospital - Madison.
When was this NPI record last updated?
The NPPES record for Todd Koppa was last updated on December 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Todd L. Koppa, CRNA · NPI 1619215001
Nurse Anesthetist, Certified Registered physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since January 21, 2013.
## Identity
- **NPI:** 1619215001 (Entity type: Individual)
- **Enumerated:** January 21, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 134721-030 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 S PARK ST, Madison, WI 53715-1830
- **Phone:** (608) 251-6100 · **Fax:** (608) 258-5222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care Of Wisconsin, Inc. (NPI 1184621211, Madison, WI); Dean Health Systems, Inc (NPI 1053358846, Madison, WI); Rockford Health Physicians (NPI 1023275278, Rockford, IL); Flambeau Hospital Inc (NPI 1700963048, Park Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 27, 2020
- **Other identifiers:** Medicaid 1619215001 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1619215001) · Data from the CMS NPPES public registry.