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

Michele Emory Koczman, PA

Individual provider Physician Assistant · NPI 1205168770

Michele Emory Koczman, PA is a Physician Assistant in Culpeper, Virginia. Qualified in 2009, 17 years ago. Practices with Innovative Urgent Care, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
17
Licensed in
IL, VA
In the registry since
2010
Specialties on file
2
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

451 James Madison Hwy Ste 104
Culpeper, VA 22701-2361
Phone: (540) 727-8880
Fax: (540) 727-8882
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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 011008237 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 085.007232 (IL)

Record details

NPI number1205168770
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 8, 2010
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Innovative Urgent Care, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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