WILLIAM JOHN KOSSENJANS (P.A.-C) – Physician Assistant, NPI 1134715923

WILLIAM JOHN KOSSENJANS (P.A.-C) is a healthcare provider. based in Florence, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. TC995 (KY). The NPI Number for WILLIAM JOHN KOSSENJANS (P.A.-C) is 1134715923

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM JOHN KOSSENJANS (P.A.-C)
NPI
1134715923
Phone
(859) 647-9101
Address
8820 Bankers St
Enumeration Date
15 December 2020
Last Update Date
9 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139814050
Graduation Year
2020 (6 years ago)
PAC ID
5597155374
Group Practice PAC ID
6406232230
Professional Enrollment ID
I20211209002564
Address ID
OH451504940MI1064X28XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for WILLIAM JOHN KOSSENJANS (P.A.-C)

  • 8820 Bankers St

    Florence, KY 410424212

    Phone: (859) 647-9101

    Type: Location

  • 3333 Burnet Ave

    Cincinnati, OH 452293026

    Phone: (513) 636-4200

    Type: Location

  • 1947A US HIGHWAY 50

    BATAVIA, OH 451038604

    Phone: (859) 801-7827

    Type: Mailing

  • 3333 BURNET AVE

    CINCINNATI, OH 452293026

    Phone: (513) 636-4200

    Type: Location

  • 1064 STATE ROUTE 28 UNIT F

    MILFORD, OH 451504940

    Phone: (513) 981-4050

    Fax: (513) 322-4859

    Type: Mailing

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: 2021-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211209002564IPhysician AssistantOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5353$0
99214Established patient office or other outpatient visit, 30-39 minutes5146$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
81002Urinalysis, manual test2119$0
View full utilization report →

Insurance plans in this area (ZIP 41042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406232230View full group profile
NameSpecialtyState
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
General PracticeOH

Reviews

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Frequently asked questions

What is WILLIAM JOHN KOSSENJANS (P.A.-C)'s NPI number?
WILLIAM JOHN KOSSENJANS (P.A.-C)'s NPI is 1134715923 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to WILLIAM JOHN KOSSENJANS (P.A.-C)?
You should see WILLIAM JOHN KOSSENJANS (P.A.-C) as active in CMS-hosted NPPES data.
What kind of doctor is WILLIAM JOHN KOSSENJANS (P.A.-C)?
WILLIAM JOHN KOSSENJANS (P.A.-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM JOHN KOSSENJANS (P.A.-C)?
Travel planning: use Florence, Kentucky as the reference point for WILLIAM JOHN KOSSENJANS (P.A.-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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