GWENDOLYN MARTINIQUE KOSEVICH MSN
NPI 1013901875
Nurse Practitioner - Family in Saint Paul, MN

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
295 PHALEN BLVD, SAINT PAUL, MN 55130(651) 495-6603(651) 495-6201 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gwendolyn Martinique Kosevich Msn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN MARTINIQUE KOSEVICH MSN (NPI 1013901875) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (R1237131) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013901875
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN MARTINIQUE KOSEVICHCredential: MSN
Location Address295 PHALEN BLVDSaint Paul, MN 55130-2400
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 495-6603 · Fax (952) 853-8727
Fax(651) 495-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJanuary 14, 2019
✔ NPI 1013901875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R1237131
295 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 1900 Nicollet MallMinneapolis, MN 55403-2530 · Phone (612) 659-7111 · Fax (612) 659-7101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn Martinique Kosevich Msn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365475282
PECOS Enrollment IDI20050912001244
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gwendolyn Kosevich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
980 RICE ST
Saint Paul, MN 55117
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Durable Medical Equipment & Medical Supplies
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation (Pain Medicine)
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Kosevich's NPI number?

The NPI number for Gwendolyn Kosevich is 1013901875. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Gwendolyn Kosevich located?

Gwendolyn Kosevich practices at 295 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 495-6603.

What is Gwendolyn Kosevich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gwendolyn Kosevich enrolled in Medicare?

Yes. Gwendolyn Kosevich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gwendolyn Kosevich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Kosevich reassigns Medicare benefits to 2 organizations: Healtheast Medical Research Institute (Saint Paul, MN) and Group Health, Inc. (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Kosevich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Kosevich accept?

Health plans from HealthPartners list Gwendolyn Kosevich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwendolyn Kosevich was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.