DR. DOROTHY KOZAKOWSKI (DNP, APN) – Family Nurse Practitioner, NPI 1588909196
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for DR. DOROTHY KOZAKOWSKI (DNP, APN)
1535 Lake Cook Rd Ste 300&500
Northbrook, IL 600621447
Phone: (866) 729-1012
Type: Location
1021 N MULFORD RD
ROCKFORD, IL 611073877
Phone: (815) 387-5600
Type: Mailing
1601 N UNIVERSITY DR
ROCKFORD, IL 611075317
Phone: (815) 391-1000
Type: Location
304 N PINE ST
MOUNT PROSPECT, IL 600562441
Phone: (847) 707-6633
Type: Mailing
6525 GREEN BAY RD # 2
KENOSHA, WI 531422967
Phone: (262) 789-1191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161130000170 | I | Nurse Practitioner | CT | TBD |
| I20240320003149 | I | Nurse Practitioner | WI | TBD |
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.
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 60062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | WI | |
| Marriage And Family Therapist | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | AZ | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI |
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