KIMBERLY KOSA
NPI 1316480650
Specialist/Technologist in Wytheville, VA
About Kimberly Kosa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY KOSA (NPI 1316480650) is an individual specialist/technologist in Wytheville, Virginia, licensed in Virginia (2202003858) and active in the NPI registry since November 2016.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Kosa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Kosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 47 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.
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 Kimberly Kosa's NPI number?
The NPI number for Kimberly Kosa is 1316480650. It was assigned to this individual provider in the NPPES registry on November 18, 2016.
Where is Kimberly Kosa located?
Kimberly Kosa practices at 525 Century Ct, Wytheville, VA 24382. The listed phone number is (276) 920-1748.
What is Kimberly Kosa's specialty?
The primary specialty registered for this NPI is Specialist/Technologist with taxonomy code 235500000X.
Is Kimberly Kosa enrolled in Medicare?
Yes. Kimberly Kosa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Kosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kosa reassigns Medicare benefits to Powerback Rehabilitation LLC (Woodbridge, VA). The 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 Kimberly Kosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Kosa was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kimberly Kosa · NPI 1316480650
Specialist/Technologist provider in Wytheville, Virginia. Individual provider, active in the CMS NPPES registry since November 18, 2016.
## Identity
- **NPI:** 1316480650 (Entity type: Individual)
- **Enumerated:** November 18, 2016
- **Primary specialty:** Specialist/Technologist · taxonomy 235500000X
- **State license:** 2202003858 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 CENTURY CT, Wytheville, VA 24382-1091
- **Phone:** (276) 920-1748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Powerback Rehabilitation LLC (NPI 1790640761, Woodbridge, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1316480650) · Data from the CMS NPPES public registry.