Andrea Jo Poulson-Port, M.D.
Family Medicine Physician · Manitowoc, WI
Andrea Jo Poulson-Port, M.D. is a family medicine physician with a practice address in Manitowoc, Wisconsin, and NPI 1326280611, issued on Apr 1, 2009. Check the license (Wisconsin 56118-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Andrea Jo Poulson-Port
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 56118-20 WI
Self-reported in NPPES; status is on the state search - Practice location
- 4100 Dewey St, Manitowoc, WI 54220
- Phone
- (920) 686-5700
- Enumerated
- Apr 1, 2009
- Record last updated
- Sep 24, 2024
- Medicaid ID
- 100024879 WI
- Medicare enrollment
- Enrolled (PECOS I20120927000853); may accept Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,765 in Wisconsin → Look up another NPI →
Also registered at 4100 Dewey St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Yang Chang, DNPNurse Practitioner1588481766
- Steven Chilinski, MDEmergency Medicine Physician1619116191
- Michal Chiu, MDPediatrics Physician1497739288
- Gregory Ishimoto, M.D.Family Medicine Physician1164681896
- Melissa Leist, ANP-CNurse Practitioner1891213401
- Lucas Mirera, DOFamily Medicine Physician1891439105
Verify Andrea Jo Poulson-Port in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 56118-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.4 times the Medicare Part D claims of the average family medicine physician in 2024
8,577 Medicare Part D claims for 449 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 132 claims were for opioids.
Most prescribed
- Atorvastatin Calcium440 claims
- Levothyroxine Sodium421 claims
- Lisinopril399 claims
- Omeprazole366 claims
- Hydrochlorothiazide292 claims
- Amlodipine Besylate288 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through 2 group practices
- Aamg Reach PLLCKenosha, WI
- Aurora Medical Group, Inc.Milwaukee, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Andrea Jo Poulson-Port among 3,765 family medicine physician records in Wisconsin
Andrea Jo Poulson-Port, M.D. is one of 3,765 family medicine physician records with a practice address in Wisconsin. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 63% of them.
- NPI issued2009 · 63% of these records are older, 35% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2009 · median 2007 among the 2,347 with a school on file
- Record last updated2024 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 family medicine physician records list a practice address in Manitowoc
They are 18 of the 765 NPPES records with a practice address in Manitowoc, and 3,765 family medicine physician records in Wisconsin.
All 3,765 in Wisconsin → Every provider in Manitowoc → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jeffrey Allen, MDManitowoc, WI 542201962410514
- David Augustine, M.D.Manitowoc, WI 542201619083185
- Patricia Cantagallo, MDManitowoc, WI 542201326084484
- Michael Hoffman, MDManitowoc, WI 542201013080894
- Gregory Ishimoto, M.D.Manitowoc, WI 542201164681896
- Shelly Johnsen, MDManitowoc, WI 542201922016690
- Nicole MihalakakosManitowoc, WI 542201699920355
- Anna Mitura- Lewandowski, MDManitowoc, WI 542201801980602
Common questions
What is Andrea Jo Poulson-Port, M.D.'s NPI number?
Andrea Jo Poulson-Port, M.D.'s National Provider Identifier (NPI) is 1326280611, issued on Apr 1, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Andrea Jo Poulson-Port, M.D. located?
The NPPES record lists a practice address at 4100 Dewey St, Manitowoc, WI, 54220. Phone: (920) 686-5700. Providers update this record themselves, so call before visiting.
How can I verify Andrea Jo Poulson-Port, M.D.'s license?
NPPES lists Wisconsin license number 56118-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Andrea Jo Poulson-Port, M.D. prescribe under Medicare Part D?
In 2024, Andrea Jo Poulson-Port, M.D. had 8,577 Medicare Part D claims for 449 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.