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

Rachel Rose Koshalek

Individual provider Physician Assistant · NPI 1659904100

Rachel Rose Koshalek is a Physician Assistant in Madison, Wisconsin. Qualified in 2020, 6 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone: (608) 915-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5249 E Terrace Dr, Madison, WI 53718-8339 — (608) 265-1280

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5120 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 5120-23 (WI)

Record details

NPI number1659904100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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