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ISABELLA MARIE KOUTSOPANAGOS
NPI 1891514030
Physician Assistant in Madison, WI

Active since October 04, 2024PECOS Enrolled
752 N HIGH POINT RD, MADISON, WI 53717(608) 824-4000(608) 294-6464 Get Directions Write a Review

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

About Isabella Marie Koutsopanagos NPPES

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

ISABELLA MARIE KOUTSOPANAGOS (NPI 1891514030) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (8893-23) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dubuque, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891514030
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameISABELLA MARIE KOUTSOPANAGOS
Location Address752 N HIGH POINT RDMadison, WI 53717-2236
Mailing Address2000 University AveDubuque, IA 52001-5099 · (563) 589-3662
Phone(608) 824-4000
Fax(608) 294-6464
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 4, 2024
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1891514030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 8893-23
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
752 N HIGH POINT RD, Madison, WI 53717
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Secondary Practice Location 1

Location 12000 University AveDubuque, IA 52001-5099 · Phone (563) 589-3662

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isabella Marie Koutsopanagos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820569163
PECOS Enrollment IDI20260608001350
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 53717 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.

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.

HEATHER L MUCKLER COTA
Occupational Therapy Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4821
DR. MINDY BAUER PHARMD
Pharmacist
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4500
DAVID K FALK MD
Dermatology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DAVID A SORBER MD
Internal Medicine
752 N HIGH POINT RD, DEAN MEDICAL CENTER
MADISON, WI 53717
Dane County (608) 824-4800
JULIA L. THORSEN M.D.
Allergy & Immunology
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
SARAH A OLIVER PA-C
Physician Assistant
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. GRANT MACAULAY M.D.
Internal Medicine
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000
DR. JUI B HAKER MD
Preventive Medicine (Occupational Medicine)
752 N HIGH POINT RD
MADISON, WI 53717
Dane County (608) 824-4000

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 Isabella Koutsopanagos's NPI number?

The NPI number for Isabella Koutsopanagos is 1891514030. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Isabella Koutsopanagos located?

Isabella Koutsopanagos practices at 752 N High Point Rd, Madison, WI 53717. The listed phone number is (608) 824-4000.

What is Isabella Koutsopanagos's specialty?

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

Is Isabella Koutsopanagos enrolled in Medicare?

Yes. Isabella Koutsopanagos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isabella Koutsopanagos was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.