LANE R KOCOVSKY (FNP) – Emergency Medicine Physician, NPI 1912579996

LANE R KOCOVSKY (FNP) is a healthcare provider. based in Andover, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11225 (MN). The NPI Number for LANE R KOCOVSKY (FNP) is 1912579996

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
LANE R KOCOVSKY (FNP)
NPI
1912579996
Phone
Not provided
Address
15245 BLUEBIRD ST NW
Enumeration Date
11 July 2021
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188245027
Graduation Year
2021 (5 years ago)
PAC ID
3274930946
Group Practice PAC ID
1658762646
Professional Enrollment ID
I20240502000556
Address ID
MN550707710SA22978NWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for LANE R KOCOVSKY (FNP)

  • 15245 BLUEBIRD ST NW

    ANDOVER, MN 553043538

    Phone:

    Type: Mailing

  • 181 High St

    Newton, NJ 078601020

    Phone: (973) 383-9898

    Fax: (973) 383-9801

    Type: Location

  • 376 Lafayette Rd Ste 101

    Sparta, NJ 078713560

    Phone: (973) 383-9898

    Fax: (973) 383-9801

    Type: Location

  • 140 Central Ave

    Clark, NJ 070661121

    Phone: (732) 499-0606

    Fax: (732) 499-8128

    Type: Location

  • 2621 Greenhaven Rd

    Anoka, MN 553035566

    Phone: (763) 587-4688

    Type: Location

  • 530 3rd St NW

    Elk River, MN 553301445

    Phone: (763) 587-4688

    Type: Location

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Fax: (973) 290-7496

    Type: Mailing

  • 181 HIGH ST

    NEWTON, NJ 078601020

    Phone: (973) 383-9898

    Fax: (973) 383-9801

    Type: Location

  • 10 W MARKET ST STE 2900

    INDIANAPOLIS, IN 462042964

    Phone:

    Type: Mailing

  • 8600 EVERGREEN BLVD NW

    COON RAPIDS, MN 554336036

    Phone: (763) 260-5113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Novo Nordisk Inc ($51).

Total Amount

$103

General + Research + Ownership

Payments

6

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210922002206INurse PractitionerNJTBD
I20240502000556INurse PractitionerMNTBD

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
99203New patient office or other outpatient visit, 30-44 minutes6767$0
99213Established patient office or other outpatient visit, 20-29 minutes4640$0
87804Detection test by immunoassay with direct visual observation for influenza virus4422$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2626$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1616$0
View full utilization report →

Insurance plans in this area (ZIP 55304)

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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: 1658762646View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantNC
Nurse PractitionerMN
Nurse PractitionerMN
Physician AssistantMN
Physician AssistantMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is there an official ID for LANE R KOCOVSKY (FNP) in U.S. healthcare records?
The official identifier for LANE R KOCOVSKY (FNP) is NPI 1912579996.
Is LANE R KOCOVSKY (FNP) still an active registrant?
LANE R KOCOVSKY (FNP) carries an active NPI according to the public dataset.
What expertise is attributed to LANE R KOCOVSKY (FNP)?
LANE R KOCOVSKY (FNP)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LANE R KOCOVSKY (FNP) associated with Andover?
Public fields place LANE R KOCOVSKY (FNP) around Andover, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for LANE R KOCOVSKY (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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