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KENNETH KOWALSKI
NPI 1396375770
Nurse Practitioner - Psychiatric/Mental Health in Sylvania, OH

Active since January 24, 2020PECOS Enrolled
5300 HARROUN RD STE 212, SYLVANIA, OH 43560(419) 776-8000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2026, Mar 21, 2025, Sep 29, 2020 and 1 more (4 updates tracked since 2020).

About Kenneth Kowalski NPPES

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

KENNETH KOWALSKI (NPI 1396375770) is an individual psychiatric/mental health provider in Sylvania, Ohio, licensed in Ohio (APRN.CNP.2020038374) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396375770
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENNETH KOWALSKI
Location Address5300 HARROUN RD STE 212Sylvania, OH 43560-2146
Mailing Address5300 Harroun Rd Ste 212Sylvania, OH 43560-2146 · (419) 776-8000
Phone(419) 776-8000
Sole ProprietorNo
Enumeration DateJanuary 24, 2020
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1396375770 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 OH · APRN.CNP.2020038374
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5300 HARROUN RD STE 212, Sylvania, OH 43560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Kowalski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Kenneth Kowalski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

360team Psychiatry LLC
12 mi
Psychiatric/Mental Health
740 COMMERCE DR STE A
Perrysburg, OH 43551
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
NPI 1780267146 (502) 244-2420
Recovery Services Of Northwest Ohio, Inc
46 mi
Clinic/Center
511 PERRY ST
Defiance, OH 43512
  • Reassigned Medicare billing, Ohio enrollment
  • 19 clinicians in this Medicare group
NPI 1720046451 (419) 782-9920
Tms Solutions Inc
1,319 mi
Psychiatry
3150 N 12TH ST STE G122
Grand Junction, CO 81506
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1255732632 (970) 697-1020

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

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
261 services71 patients
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.
39 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Kenneth Kowalski's NPI number?

The NPI number for Kenneth Kowalski is 1396375770. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Kenneth Kowalski located?

Kenneth Kowalski practices at 5300 Harroun Rd Ste 212, Sylvania, OH 43560. The listed phone number is (419) 776-8000.

What is Kenneth Kowalski's specialty?

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

Is Kenneth Kowalski enrolled in Medicare?

Yes. Kenneth Kowalski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Kowalski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Kowalski reassigns Medicare benefits to 3 organizations: 360team Psychiatry LLC (Perrysburg, OH), Recovery Services Of Northwest Ohio, Inc (Defiance, OH) and Tms Solutions Inc (Grand Junction, CO). 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 Kenneth Kowalski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Kowalski accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and Paramount list Kenneth Kowalski 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 Kenneth Kowalski was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.