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Active NPI 1114394293 Individual Practitioner Female Practitioner

Amber R Koll , PA-C

Physician Assistant • West Bend, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amber Koll, PA-C is a certified Physician Assistant practicing in West Bend, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Amber Koll delivers high-quality medical care to the local community at 205 VALLEY AVE.

Amber Koll maintains professional affiliations with Aurora Medical Group, Inc., Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, anticoagulant management of patient taking warfarin, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 Valley Ave

West Bend, WI 530955312

Telephone 2623381123
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1164456380

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Bend, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.3 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
11 Specialists

Practicing in West Bend, WI (3517 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koll (11 Years) 11 Yrs
West Bend Specialty Average (12.3 Years) 12.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
152 103 $515.00 $100.35
93793 Anticoagulant management of patient taking warfarin
44 29 $85.00 $9.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
43 43 $360.00 $103.44
85610 Blood test, clotting time
35 21 $45.00 $4.20
99213 Established patient office or other outpatient visit, typically 15 minutes
29 26 $350.00 $72.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $755.00 $126.02
G0008 Administration of influenza virus vaccine
19 18 $65.00 $30.42
90662 Influenza vaccine split virus, preservative free
15 14 $125.00 $79.84
93000 Routine ekg using at least 12 leads including interpretation and report
11 11 $190.00 $11.29

Medical Specialties & State Licenses

CMS Verified: 2024-09-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3662-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100048002 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

1640 E Sumner St, Hartford, WI 530272684

Phone: 2626704000

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Medical Group, Inc.

2414 Kohler Memorial Dr, Sheboygan, WI 530813129

Phone: 9204574461

Aurora Medical Group, Inc.

2600 Kiley Way, Plymouth, WI 530735020

Phone: 9204497000

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Secondary Practice Locations

2629 N 7th St

Sheboygan, WI 530834932

Phone: 9204515000

Practice Associates & Co-Workers

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

27 Associated Practitioners
NPI 1063002376

Doctor of Chiropractic

NPI 1073522603

Doctor of Chiropractic

NPI 1104933449

Doctor of Medicine (M.D.)

NPI 1134208010

Doctor of Optometry

Amy Haug , PA

Physician Assistant

NPI 1164459640

Physician Assistant

Melissa Schmidt , PA-C

Physician Assistant

NPI 1164475547

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Business Mailing Address September 09, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location December 14, 2021

Registered at 205 VALLEY AVE, WEST BEND, WI 530955312 (Tel: 2623381123)

📍
Updated Business Mailing Address December 14, 2021

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2017

Registered at 2629 N 7TH ST, SHEBOYGAN, WI 530834932 (Tel: 9204515000)

📍
Updated Business Mailing Address September 27, 2017

Registered at 2629 N 7TH ST, SHEBOYGAN, WI 530834932 (Tel: 9204515000)

👤
Provider Name / Credentials Updated September 27, 2017

Recorded as AMBER KOLL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant (License #3662-23 in WI)

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2016

Registered at 2629 N 7TH ST, SHEBOYGAN, WI 530834932 (Tel: 9204515000)

📍
Updated Business Mailing Address August 08, 2016

Registered at 2629 N 7TH ST, SHEBOYGAN, WI 530834932 (Tel: 9204515000)

👤
Provider Name / Credentials Updated August 08, 2016

Recorded as AMBER BURTARD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Physician Assistant (License #3662-23 in WI)

🟢
Initial NPI Registration & Enumeration August 25, 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: 1114394293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2015
Last Update: September 09, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.