DR. MELISSA D KOEHLER (DO) – Obstetrics & Gynecology Physician, NPI 1477754869

DR. MELISSA D KOEHLER (DO) is a healthcare provider. based in Appleton, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 122103 (NC). The NPI Number for DR. MELISSA D KOEHLER (DO) is 1477754869

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA D KOEHLER (DO)
NPI
1477754869
Phone
(920) 730-4413
Address
1531 S MADISON ST
Enumeration Date
31 May 2007
Last Update Date
11 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9207494000
Graduation Year
2004 (22 years ago)
PAC ID
0749357697
Group Practice PAC ID
8628044138
Professional Enrollment ID
I20080918000705
Address ID
WI549113454AP1818XSTXX400

Contacts

Secure Messaging
melissa.koehler.1@10114.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

798 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for DR. MELISSA D KOEHLER (DO)

  • 1531, South Madison Street, Appleton, Outagamie County, Wisconsin, 54915, United States

    APPLETON, WI 549151800

    Phone: (920) 730-4413

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $258.

Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.

Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Astellas Pharma US Inc ($70).

Total Amount

$258

General + Research + Ownership

Payments

10

Total payment records

General Amount

$258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080918000705IObstetrics/GynecologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628044138View full group profile
NameSpecialtyState
Physician AssistantWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Physician AssistantWI
O B S T E T R I C S/ G Y N E C O L O G YMI
-WI
Physician AssistantWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI
O B S T E T R I C S/ G Y N E C O L O G YWI

Reviews

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Frequently asked questions

How is DR. MELISSA D KOEHLER (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. MELISSA D KOEHLER (DO) with NPI 1477754869.
Does the file indicate DR. MELISSA D KOEHLER (DO) is practicing under active NPI?
Directory data currently reports DR. MELISSA D KOEHLER (DO) as active.
What is DR. MELISSA D KOEHLER (DO)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. MELISSA D KOEHLER (DO) here. Clinical services aligned with this taxonomy classification.
Where is DR. MELISSA D KOEHLER (DO) based?
DR. MELISSA D KOEHLER (DO) is tied to Appleton, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about DR. MELISSA D KOEHLER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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