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

Mariah Koenen, PA-C

Individual provider Physician Assistant · NPI 1619378585

Mariah Koenen, PA-C is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2014, 12 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
12
Licensed in
MN, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-4783
Phone: (608) 785-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3480 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 11699 (MN)

Record details

NPI number1619378585
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in LA Crosse