MRS. ALICIA MARIE KOLACZ APRN
NPI 1184431736
Nurse Practitioner - Family in Newington, CT

Q: What is Alicia Kolacz's NPI number?

The NPI number for Alicia Kolacz is 1184431736. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Alicia Kolacz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alicia Kolacz was last updated on February 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment

375 WILLARD AVE, NEWINGTON, CT 06111(860) 666-5111 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2025, Dec 17, 2024 (2 updates tracked since 2024).

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About Mrs. Alicia Marie Kolacz Aprn NPPES

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

MRS. ALICIA MARIE KOLACZ APRN (NPI 1184431736) is an individual family provider in Newington, Connecticut, licensed in Connecticut (14301) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184431736

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ALICIA MARIE KOLACZCredential: APRN

Location Address375 WILLARD AVENewington, CT 06111-2300

Mailing Address52 Old Cider Mill RdSouthington, CT 06489-1873

Phone(860) 666-5111

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 17, 2024

Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1184431736 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 CT · 14301

375 WILLARD AVE, Newington, CT 06111

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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

Mrs. Alicia Marie Kolacz Aprn 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 ID6507386596

PECOS Enrollment IDI20250220002486

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06111 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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Other Providers at the Same Location NPPES 18

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

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