MARTHA SOCORRO KOZUB (APN) – Adult Health Nurse Practitioner, NPI 1609098607
Adult Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for MARTHA SOCORRO KOZUB (APN)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
2425, Venice Drive, Schererville, Lake County, Indiana, 46375, United States
SCHERERVILLE, IN 46375
Phone: (219) 322-3319
Type: Mailing
5514, Hohman Avenue, Harrison Park, Hammond, North Township, Lake County, Indiana, 46320, United States
HAMMOND, IN 46320
Phone: (219) 933-2018
Fax: (219) 933-2647
Type: Location
5530 Hohman Ave
Hammond, IN 463201935
Phone: (219) 933-2018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $891.
Total Amount is formed as General ($891) + Research ($0) + Ownership ($0) = $891.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($198).
Total Amount
$891
General + Research + Ownership
Payments
9
Total payment records
General Amount
$891
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $198 |
| Optinose US, Inc. | $122 |
| Lexicon Pharmaceuticals, Inc. | $121 |
| AstraZeneca Pharmaceuticals LP | $117 |
| E.R. Squibb & Sons, L.L.C. | $116 |
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: 2017-03-21
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 |
|---|---|---|---|---|
| I20170321000589 | I | Nurse Practitioner | IN | 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 48278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IN | |
| C H I R O P R A C T I C | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Clinical Psychologist | IN | |
| - | IL | |
| - | IN | |
| - | OH | |
| Family Practice | MI | |
| Nurse Practitioner | IN |
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