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MR. ANDREW KOCIUBUK APNP
NPI 1386241867
Nurse Practitioner - Psychiatric/Mental Health in North Providence, RI

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
80.22/100
CMS Quality Rating
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904(401) 456-2000(401) 456-2445 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Jun 30, 2021, Oct 7, 2020 (3 updates tracked since 2020).

About Mr. Andrew Kociubuk Apnp NPPES

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

MR. ANDREW KOCIUBUK APNP (NPI 1386241867) is an individual psychiatric/mental health provider in North Providence, Rhode Island, licensed in Wisconsin (11039-33) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386241867
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ANDREW KOCIUBUKCredential: APNP
Location Address200 HIGH SERVICE AVENorth Providence, RI 02904-5113
Mailing Address200 High Service AveNorth Providence, RI 02904-5113 · Fax (401) 456-2445
Phone(401) 456-2000
Fax(401) 456-2445
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 7, 2020
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1386241867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 11039-33
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN.466178 (OH)
200 HIGH SERVICE AVE, North Providence, RI 02904
Open in Google Maps ↗

Secondary Practice Location 1

Location 1825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2000 · Fax (401) 456-2445

Other Identifiers 1

OtherRN.466178OH · Registered Nurse

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

Mr. Andrew Kociubuk Apnp 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 ID7719380476
PECOS Enrollment IDI20210720000318
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 02904 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability99
Improvement Activities40
Cost49.83

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.

ST. JOSEPH HEALTH SERVICES OF RI
General Acute Care Hospital
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
THOMAS HOPKINS P.A.
Physician Assistant
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
CHRISTINE L CONSTANTINEAU CSW
Social Worker (Clinical)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
JONA VOLCY
Social Worker
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-2525
UCHECHUKWU UGORJI DO
Psychiatry & Neurology (Psychiatry)
200 HIGH SERVICE AVE
N PROVIDENCE, RI 02904
Providence County (401) 456-3000
DR. KATHERINE MARIE WATERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3155
VLADANA ALEMAN-BRIZUELA M.D.
Emergency Medicine
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
ABDOL HAMID SHAHINFAR MD
Radiology (Diagnostic Radiology)
200 HIGH SERVICE AVE, RADIOLOGY DEPARTMENT
NORTH PROVIDENCE, RI 02904
Providence County (413) 456-4215

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 Andrew Kociubuk's NPI number?

The NPI number for Andrew Kociubuk is 1386241867. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Andrew Kociubuk located?

Andrew Kociubuk practices at 200 High Service Ave, North Providence, RI 02904. The listed phone number is (401) 456-2000.

What is Andrew Kociubuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrew Kociubuk enrolled in Medicare?

Yes. Andrew Kociubuk 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.

When was this NPI record last updated?

The NPPES record for Andrew Kociubuk was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.