MOLLY ELIZABETH KOZLOWSKI (PA-C) – Physician Assistant, NPI 1942535109
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,067 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MOLLY ELIZABETH KOZLOWSKI (PA-C)
4480 CENTERVILLE RD
WHITE BEAR LAKE, MN 551273674
Phone: (651) 484-2724
Fax: (651) 484-2723
Type: Mailing
Westbrook Corporate Center, Westchester, Proviso Township, Cook County, Illinois, United States
#240
WESTCHESTER, IL 601545701
Phone:
Type: Mailing
Subway, 1611, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60607, United States
STE #400 MIDWEST ORTHOPAEDICS AT RUSH, LLC
CHICAGO, IL 60612
Phone: (312) 243-4244
Fax: (312) 942-1517
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Incyte Corporation ($93).
Total Amount
$259
General + Research + Ownership
Payments
10
Total payment records
General Amount
$259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-01-28
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170620000113 | I | Physician Assistant | CO | TBD |
| I20210128000671 | I | Physician Assistant | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 201 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 124 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 76 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 82 | 64 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 60 | 50 | $0 |
Insurance plans in this area (ZIP 55127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MN | |
| Internal Medicine | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Diagnostic Radiology | MN | |
| Marriage And Family Therapist | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN |
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