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Danielle Elizabeth Koziczkowski

Physician Assistant β€’ Greenfield, WI

Active NPI 1396432704 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4935 S 76th St
Greenfield, WI 532209900

Call 4147773100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4935 S 76th St

Greenfield, WI 532209900

Telephone 4147773100
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ascension Medical Group-Southeast Wisconsin Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Open Payments general payments, program year 2025

All general payments: $50.67 across 2 records.

By nature of payment

  • Food and Beverage: $50.67 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $25.45 across 1 record.
  • Dynavax Technologies Corporation: $25.22 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Danielle Koziczkowski has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Danielle Koziczkowski as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Greenfield and Wisconsin

31 active clinicians are listed under Physician Assistant with a practice address in Greenfield, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Greenfield

9.7% of these 31 clinicians have the CMS telehealth indicator.

67.7% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $50.67.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
SHINGRIX General $25.45
Dynavax Technologies Corporation
Food and Beverage
In-kind items and services
Heplisav-B General $25.22

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 8060

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241119002730

Enrollment State Jurisdiction

WI

PECOS Control ID

8426583006

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ascension Medical Group-Southeast Wisconsin Inc

4935 S 76th St, Greenfield, WI 532204305

Phone: 4147773100

Ascension Medical Group-Southeast Wisconsin Inc

13950 W Capitol Dr, Brookfield, WI 530052441

Phone: 4143025400

Ascension Medical Group-Southeast Wisconsin Inc

201 N Mayfair Rd, Wauwatosa, WI 532264216

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1376961086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2025

Physician Assistant (license number reported to NPPES: WI 8060)

πŸ“
Updated Practice Location November 20, 2024

Registered at 4935 S 76TH ST, GREENFIELD, WI 532209900 (Tel: 4147773100)

βœ…
NPI Profile Active April 18, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 18, 2023

Registered at 1851 BLACKFOOT AVE, GRAFTON, WI 530249303 (Tel: 2623053285)

πŸ“
Business Mailing Address (Initial Record) April 18, 2023

Registered at 1851 BLACKFOOT AVE, GRAFTON, WI 530249303 (Tel: 2623053285)

πŸ‘€
Provider Name / Credentials (Initial Record) April 18, 2023

Recorded as DANIELLE KOZICZKOWSKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 18, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396432704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2023
Last Update: May 22, 2025
Sole Proprietor: No

Other Physician Assistants in Greenfield

All Physician Assistants in Greenfield

Mailing Address

1851 Blackfoot Ave

Grafton, WI 530249303

Phone: 2623053285

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.