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

Q: 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.

Q: What is Gwendolyn Kosevich's specialty?

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

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: August 09, 2026.

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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

Phone(651) 495-6603

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

AMY F LARSON ANP

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