MIKAELA J KOLLER
NPI 1952156010
Physician Assistant in Wauwatosa, WI

Q: What is Mikaela Koller's NPI number?

The NPI number for Mikaela Koller is 1952156010. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Mikaela Koller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mikaela Koller was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 22, 2024PECOS Enrolled

10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226(414) 877-5350 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Apr 22, 2024 (2 updates tracked since 2024).

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About Mikaela J Koller NPPES

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

MIKAELA J KOLLER (NPI 1952156010) is an individual physician assistant in Wauwatosa, Wisconsin and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952156010

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIKAELA J KOLLER

Location Address10625 W NORTH AVE STE 101BWauwatosa, WI 53226-2315

Mailing Address28863 Oregon Rd Apt C29Perrysburg, OH 43551-3557

Phone(414) 877-5350

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 22, 2024

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1952156010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

10625 W NORTH AVE STE 101B, Wauwatosa, WI 53226

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikaela J Koller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476047366

PECOS Enrollment IDI20251209001424

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.

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

MARIA KISELICKA APNP, APRN, FNP-BC

Nurse Practitioner