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

Isabella Marie Koutsopanagos

Individual provider Physician Assistant · NPI 1891514030

Isabella Marie Koutsopanagos is a Physician Assistant in Madison, Wisconsin. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

752 N High Point Rd
Madison, WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 294-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 University Ave, Dubuque, IA 52001-5099 — (563) 589-3662

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8893-23 (WI)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891514030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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