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

Shannon L Koss, PAC

Individual provider Physician Assistant · NPI 1861583007

Shannon L Koss, PAC is a Physician Assistant in Appleton, Wisconsin. Qualified in 2003, 23 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
23
Licensed in
WI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1531 S Madison St
Appleton, WI 54915
Phone: (920) 996-3700
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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 1604 (WI)

Record details

NPI number1861583007
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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