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

Mr. Nathan W Koller, PA

Individual provider Physician Assistant · NPI 1497060727

Mr. Nathan W Koller, PA is a Physician Assistant in Bel Air, Maryland. Qualified in 2009, 17 years ago. Practices with Pinnacle Health Hospitalist Services LLC, a 179-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
17
Licensed in
MD, PA
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.

See every abbreviation used in this directory →

Practice location Address checks out

500 Uppr Chesapeake DR
Bel Air, MD 21014-4324
Phone: (443) 643-1500
Fax: (443) 643-1505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6701 N Charles St, Baltimore, MD 21204-6808 — (443) 849-8046
  • 300 Highland Ave, Hanover, PA 17331-2297 — (717) 316-3711

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064644 (PA)
Physician Assistant Taxonomy 363A00000X · Licence C0004217 (MD)

Record details

NPI number1497060727
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

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 Pinnacle Health Hospitalist Services Llc — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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