JENNIFER L KOTZMOYER CRNP
NPI 1396399820
Nurse Practitioner in Pottsville, PA

Q: What is Jennifer Kotzmoyer's NPI number?

The NPI number for Jennifer Kotzmoyer is 1396399820. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Q: What is Jennifer Kotzmoyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 01, 2019PECOS Enrolled

529 TERRY REILEY WAY, POTTSVILLE, PA 17901(570) 624-4444(570) 624-4445 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Aug 25, 2020, Nov 1, 2019 and 1 more (4 updates tracked since 2019).

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About Jennifer L Kotzmoyer Crnp NPPES

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

JENNIFER L KOTZMOYER CRNP (NPI 1396399820) is an individual nurse practitioner in Pottsville, Pennsylvania, licensed in Pennsylvania (SP020614) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orwigsburg.

NPPES Registry Identity

NPI1396399820

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER L KOTZMOYERCredential: CRNP

Location Address529 TERRY REILEY WAYPottsville, PA 17901-1774

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 624-4444

Fax(570) 624-4445

Sole ProprietorNo

Enumeration DateAugust 1, 2019

Last NPPES UpdateApril 14, 20224 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1396399820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP020614

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP020614 (PA)

529 TERRY REILEY WAY, Pottsville, PA 17901

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Secondary Practice Location 1

Location 1300 Hollywood BlvdOrwigsburg, PA 17961-2426 · Phone (570) 366-1557 · Fax (570) 366-3981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L Kotzmoyer Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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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.

LISA M ASHMAN R.PH.

Pharmacist