GARY K COZINE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174597363

GARY K COZINE (CRNA) is a healthcare provider. based in St paul, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1877 (MN). The NPI Number for GARY K COZINE (CRNA) is 1174597363

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
GARY K COZINE (CRNA)
NPI
1174597363
Phone
(651) 602-7245
Address
393 Dunlap St
Enumeration Date
14 February 2006
Last Update Date
13 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632018191
Graduation Year
1992 (34 years ago)
PAC ID
4183528391
Group Practice PAC ID
4284879701
Professional Enrollment ID
I20031120000485
Address ID
MN553181152CH3000XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for GARY K COZINE (CRNA)

  • 393 Dunlap St

    St Paul, MN 55104

    Phone: (651) 602-7245

    Type: Location

  • 9645 Grove Cir N Ste 250

    Maple Grove, MN 553694466

    Phone: (763) 201-8191

    Fax: (763) 201-8192

    Type: Location

  • Hwy 55, Floyd B. Olson Memorial Highway/Hiawatha Pioneer Trail, Eagan, Dakota County, Minnesota, 55121-1542, United States

    SUITE 130

    EAGAN, MN 55121

    Phone: (651) 842-3344

    Fax: (651) 842-3391

    Type: Mailing

  • Abbott Northwestern Hospital, 800, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 55407

    Phone: (865) 342-8900

    Fax: (865) 691-0843

    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: 2003-11-20

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
I20031120000485ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
01992Anesthesia for nerve block and injection procedure, prone position11299$0
00103Anesthesia for procedure on eyelid5050$0
00142Anesthesia for lens surgery3737$0
00140Anesthesia for other procedure on eye1514$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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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: 4284879701View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What unique ID ties claims to GARY K COZINE (CRNA)?
NPI 1174597363 is assigned to GARY K COZINE (CRNA) under the national enumeration system.
Is GARY K COZINE (CRNA) active in the national directory?
GARY K COZINE (CRNA)'s public NPI profile is in an active state.
Can you summarize GARY K COZINE (CRNA)'s specialty in plain language?
Clinically, the directory lists GARY K COZINE (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GARY K COZINE (CRNA)?
The page summarizes St Paul, Minnesota for GARY K COZINE (CRNA); expand the address list for detail.
How can I contact GARY K COZINE (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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