KRISTEN SUSANNAH KOZAK (CRNP) – Family Nurse Practitioner, NPI 1942554787
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for KRISTEN SUSANNAH KOZAK (CRNP)
1313 NATIONAL HWY
LAVALE, MD 215027618
Phone: (240) 362-0288
Fax: (240) 362-0052
Type: Mailing
UPMC BEDFORD WALK IN CLINIC
420 E. CENTRAL WAY
BEDFORD, PA 15522
Phone: (814) 623-6917
Fax: (240) 362-0052
Type: Location
3056 MENOHER BLVD
JOHNSTOWN, PA 159055603
Phone: (814) 483-2146
Type: Mailing
SOMERSET HOSPITAL
225 SOUTH CENTER AVE
SOMERSET, PA 15501
Phone: (814) 443-5800
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: 2016-03-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160321000035 | I | Nurse Practitioner | PA | 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 21502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PR | |
| P S Y C H I A T R Y | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Pulmonary Disease | PA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Family Practice | PA | |
| - | MI | |
| Nurse Practitioner | PA |
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