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

Q: 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.

Q: 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.

Q: 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 5 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.

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: October 18, 2026.

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

On this page

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20260716000893

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Kociubuk reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chartercare Our Lady Of Fatima Hospital

Same address

Cardiovascular Disease

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
69 clinicians in this Medicare group

NPI 1255160115 (401) 456-3000

Prospect Chartercare Sjhsri, LLC

0.1 mi

Internal Medicine

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
110 clinicians in this Medicare group

NPI 1588089759 (401) 456-3000

Chartercare Roger Williams Medical Center

2.0 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
96 clinicians in this Medicare group

NPI 1649009507 (401) 456-2000

Prospect Chartercare Rwmc, LLC

2.0 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
162 clinicians in this Medicare group

NPI 1285059287 (401) 456-2000

Group Health Cooperative Of South Central Wisconsin

925 mi

Health Maintenance Organization

1265 JOHN Q HAMMONS DR
Madison, WI 53717

Reassigned Medicare billing, Wisconsin enrollment
422 clinicians in this Medicare group

NPI 1245260165 (608) 251-4156

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

85.06

Promoting Interoperability

Improvement Activities

Cost

49.83

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.

Which organizations bill Medicare for Andrew Kociubuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kociubuk reassigns Medicare benefits to 5 organizations: Chartercare Our Lady Of Fatima Hospital (North Providence, RI), Prospect Chartercare Sjhsri, LLC (North Providence, RI), Chartercare Roger Williams Medical Center (Providence, RI), Prospect Chartercare Rwmc, LLC (Providence, RI) and Group Health Cooperative Of South Central Wisconsin (Madison, WI). Each 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 Andrew Kociubuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Kociubuk accept?

Health plans from Harvard Pilgrim Health Care list Andrew Kociubuk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.