Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew G Koopman

Individual provider Physician Assistant · NPI 1588183321

Andrew G Koopman is a Physician Assistant in Appleton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1818 N Meade St
Appleton, WI 54911-3454
Phone: (920) 735-7645
Fax: (920) 735-7618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1401 25th St S, Great Falls, MT 59405-5183 — (406) 731-8885
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 735-7645

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8211 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588183321
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Appleton