Active NPI 1437527389 Individual Practitioner Female Practitioner

Melissa Koss , APNP

Nurse Practitioner • Manitowoc, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Melissa Koss, APNP is a certified Nurse Practitioner practicing in Manitowoc, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Melissa Koss delivers high-quality medical care to the local community at 1650 S 41ST ST.

Melissa Koss is affiliated with Froedtert Manitowoc Medical Group, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1650 S 41st St

Manitowoc, WI 542207316

Telephone 9203203185

Associated Practice Facility / Clinic

🏢 Froedtert Health Facility NPI 1073273215

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Manitowoc, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +3.1 yrs vs City Avg

City Avg: 7.9 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

34 Specialists

Practicing in Manitowoc, WI (4030 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koss (11 Years) 11 Yrs

Manitowoc Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	801	166	$200.00	$85.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	52	$150.00	$58.66
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	115	65	$251.74	$121.49
99306 Initial nursing facility visit, typically 45 minutes per day	110	104	$350.00	$144.15
99316 Nursing facility discharge management, more than 30 minutes	65	59	$200.00	$103.68
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	31	14	$258.06	$101.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	17	$300.00	$105.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$225.00	$103.79
99344 New patient home visit, typically 1 hour	16	16	$300.00	$113.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	11	$100.00	$31.52
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	13	11	$165.00	$61.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	135	51	$384.17	$85.54
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	46	28	$563.46	$123.10
99306 Initial nursing facility visit, typically 45 minutes per day	33	32	$556.67	$145.91
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	31	24	$135.13	$25.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	22	$550.04	$106.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$593.33	$143.65
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	11	$382.27	$85.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	180	82	$373.17	$72.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	46	$373.80	$72.48
99306 Initial nursing facility visit, typically 45 minutes per day	59	59	$554.07	$131.50
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	28	$532.48	$103.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$520.65	$136.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	11	$360.58	$93.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	264	99	$358.00	$73.67
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	67	63	$512.00	$104.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	29	$264.17	$81.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$400.00	$119.26
99306 Initial nursing facility visit, typically 45 minutes per day	22	22	$655.00	$134.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	272	105	$358.00	$75.24
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	87	83	$512.00	$107.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	46	$273.29	$65.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$400.00	$91.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	258	93	$348.00	$75.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	100	$259.00	$65.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	67	65	$497.00	$107.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	36	$263.00	$56.80
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$120.00	$42.13
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	12	$518.00	$111.89
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$636.00	$138.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$400.00	$91.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	177	79	$237.00	$74.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	112	$129.00	$64.14
99306 Initial nursing facility visit, typically 45 minutes per day	102	97	$389.00	$136.56
99213 Established patient office or other outpatient visit, typically 15 minutes	80	49	$53.00	$41.81
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	44	$170.00	$56.59
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	36	32	$296.00	$111.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$24.00	$20.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	68	$228.00	$74.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	70	$128.43	$64.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	73	$27.73	$20.77
99306 Initial nursing facility visit, typically 45 minutes per day	39	38	$374.00	$136.37
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$54.77	$41.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	13	$163.00	$56.90

Medical Specialties & State Licenses

CMS Verified: 2024-12-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6633

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Froedtert Manitowoc Medical Group, Llc

1414 N Taylor Dr, Sheboygan, WI 530811988

Phone: 9203202436

Froedtert Manitowoc Medical Group, Llc

2631 Eastern Ave, Plymouth, WI 530734270

Phone: 9203202436

Froedtert Manitowoc Medical Group, Llc

3736 S Taylor Dr, Sheboygan, WI 530818432

Phone: 9204766300

Froedtert Manitowoc Medical Group, Llc

1650 S 41st St, Manitowoc, WI 542207316

Phone: 9203202011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Matthew Mcfarlane , MD

Surgery

NPI 1477873743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 23, 2024

Registered at 1650 S 41ST ST, MANITOWOC, WI 542207316 (Tel: 9203203185)

📍

Updated Business Mailing Address December 23, 2024

Registered at 1650 S 41ST ST, MANITOWOC, WI 542207316 (Tel: 9203203185)

✅

NPI Profile Active September 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2015

Registered at 2021 S ALVERNO RD, MANITOWOC, WI 542209208 (Tel: 9203206640)

📍

Updated Business Mailing Address September 09, 2015

Registered at PO BOX 2290, MANITOWOC, WI 542212290 (Tel: 9203202591)

👤

Provider Name / Credentials Updated September 09, 2015

Recorded as MELISSA KOSS, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2015

Nurse Practitioner (License #6633 in WI)

🟢

Initial NPI Registration & Enumeration September 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437527389

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 09, 2015

Last Update: December 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1650 S 41st St

Manitowoc, WI 542207316

Phone: 9203203185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.