MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) – Family Nurse Practitioner, NPI 1083212732

MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) is a healthcare provider. based in Lufkin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP, FNP-C. They hold a License No. AP144410 (TX). The NPI Number for MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) is 1083212732

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C)
NPI
1083212732
Phone
(936) 465-0396
Address
207 HEATHER ST
Enumeration Date
14 October 2020
Last Update Date
14 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366378567
Graduation Year
2018 (8 years ago)
PAC ID
7810380227
Group Practice PAC ID
5395973564
Professional Enrollment ID
I20220208000873
Address ID
TX759043120LU505XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C)

  • 207 HEATHER ST

    LUFKIN, TX 759044845

    Phone: (936) 465-0396

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2023-02-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($58).

Total Amount

$58

General + Research + Ownership

Payments

1

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-28

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: 2022-02-08

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
I20220208000873INurse PractitionerTXTBD

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
99285Emergency department visit with high level of medical decision making7270$0
99284Emergency department visit with moderate level of medical decision making6766$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4341$0
View full utilization report →

Insurance plans in this area (ZIP 75904)

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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: 5395973564View full group profile
NameSpecialtyState
-TX
Emergency MedicineTX
Emergency Medicine, Family PracticeLA
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeAR
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C)?
The federal identifier for MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) is NPI 1083212732.
Is MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C). Clinical services aligned with this taxonomy classification.
Does MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) practice in Texas?
You will see Lufkin, Texas on file for MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) alongside any extra practice locations.
Is MR. KOSHY VELLAVOOR JOSE (APRN-CNP, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1083212732. Always confirm identity and privileges with the practice and licensing boards.

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