NICOLE KOSAKOWSKI PA
NPI 1356784292
Physician Assistant in Jacksonville, NC

Q: What is Nicole Kosakowski's NPI number?

The NPI number for Nicole Kosakowski is 1356784292. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Q: What is Nicole Kosakowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kosakowski was last updated on November 3, 2023. 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.

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment

120 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 577-1150 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Jul 19, 2023, Jan 20, 2021 and 22 more (25 updates tracked since 2019).

On this page

About Nicole Kosakowski Pa NPPES

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

NICOLE KOSAKOWSKI PA (NPI 1356784292) is an individual physician assistant in Jacksonville, North Carolina, licensed in North Carolina (0010-09068) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356784292

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE KOSAKOWSKICredential: PA

Location Address120 MEMORIAL DRJacksonville, NC 28546-6328

Mailing AddressPo Box 986513, Dept 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269

Phone(910) 353-0581

Fax(910) 577-1150

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 10, 2013

Last NPPES UpdateNovember 3, 202325 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1356784292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-09068

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

120 MEMORIAL DR, Jacksonville, NC 28546

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Nicole Kosakowski Pa 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 ID3870859390

PECOS Enrollment IDI20191014001195

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 28546 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

1 supplier15 claims375 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$18.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

DR. EVGENIYA NIKOLAEVNA CHISENHALL M.D.

Pediatrics