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

Kristen Koenig, PA

Individual provider Physician Assistant · NPI 1558963926

Kristen Koenig, PA is a Physician Assistant in Cooperstown, New York. Graduated from State University of Ny Upstate Medical University in 2020, 6 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
State University of Ny Upstate Medical University
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-4934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1558963926
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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