AMAYA JENN KOZUSKO MS, FNP-C
NPI 1285489534
Nurse Practitioner - Family in Bangor, ME

Active since April 20, 2024PECOS EnrolledAccepts Medicare Assignment
302 HUSSON AVE STE 2, BANGOR, ME 04401(207) 941-2373 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, Apr 20, 2024 (2 updates tracked since 2024).

About Amaya Jenn Kozusko Ms, Fnp-c NPPES

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

AMAYA JENN KOZUSKO MS, FNP-C (NPI 1285489534) is an individual family provider in Bangor, Maine, licensed in Maine (CNP241106) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285489534
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMAYA JENN KOZUSKOCredential: MS, FNP-C
Location Address302 HUSSON AVE STE 2Bangor, ME 04401-3373
Mailing Address310 Parsons Dr Apt 403Charlottesville, VA 22901-3224 · (781) 492-9136
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 20, 2024
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1285489534 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 ME · CNP241106
302 HUSSON AVE STE 2, Bangor, ME 04401

Other Names 1

Former Name (1)Amaya Jenn Abadia-manthei

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

Amaya Jenn Kozusko Ms, Fnp-c 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 ID345786679
PECOS Enrollment IDI20240723003945
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201300
Location57 Water StreetBlue Hill, ME 04614 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 8

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

Family Medicine
302 HUSSON AVE STE 2
BANGOR, ME 04401
Nurse Practitioner (Family)
302 HUSSON AVE STE 2
BANGOR, ME 04401
Family Medicine
302 HUSSON AVE STE 2
BANGOR, ME 04401
Nurse Practitioner (Family)
302 HUSSON AVE STE 2
BANGOR, ME 04401
Nurse Practitioner (Family)
302 HUSSON AVE STE 2
BANGOR, ME 04401
Nurse Practitioner (Family)
302 HUSSON AVE STE 2
BANGOR, ME 04401
Internal Medicine
302 HUSSON AVE STE 2
BANGOR, ME 04401
Family Medicine
302 HUSSON AVE STE 2
BANGOR, ME 04401

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 Amaya Kozusko's NPI number?

The NPI number for Amaya Kozusko is 1285489534. It was assigned to this individual provider in the NPPES registry on April 20, 2024. The provider is also known as Amaya Jenn Abadia-Manthei.

Where is Amaya Kozusko located?

Amaya Kozusko practices at 302 Husson Ave Ste 2, Bangor, ME 04401. The listed phone number is (207) 941-2373.

What is Amaya Kozusko's specialty?

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

Is Amaya Kozusko enrolled in Medicare?

Yes. Amaya Kozusko 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.

Is Amaya Kozusko affiliated with any hospitals?

According to CMS data, Amaya Kozusko is affiliated with St Joseph Hospital, Northern Light Eastern Maine Medical Center and Northern Light Blue Hill Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amaya Kozusko was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.