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SHANNA D. KOZAK APRN
NPI 1497053714
Nurse Practitioner in Bowling Green, KY

Active since March 10, 2011PECOS Enrolled
250 PARK STREET, BOWLING GREEN, KY 42101(270) 796-6540(270) 796-6576 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shanna D. Kozak Aprn NPPES

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

SHANNA D. KOZAK APRN (NPI 1497053714) is an individual nurse practitioner in Bowling Green, Kentucky, licensed in Kentucky (3006749) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497053714
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNA D. KOZAKCredential: APRN
Location Address250 PARK STREETBowling Green, KY 42101-1780
Mailing Address250 Park StreetBowling Green, KY 42101-1780 · (270) 796-6540 · Fax (270) 796-6576
Phone(270) 796-6540
Fax(270) 796-6576
Sole ProprietorNo
Enumeration DateMarch 10, 2011
Last NPPES UpdateNovember 27, 2013
✔ NPI 1497053714 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 KY · 3006749
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 · Acute CareTaxonomy 363LA2100X · License 15685 (TN), 3006749 (KY)
250 PARK STREET, Bowling Green, KY 42101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanna D. Kozak Aprn 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 Reassignment

Medicare enrollment records show Shanna Kozak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Health Corporation, Inc
0.1 mi
Family
350 PARK ST STE 106
Bowling Green, KY 42101
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1215521802 (270) 721-7265

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 42101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE JO CALVERT PA-C
Physician Assistant
250 PARK STREET
BOWLING, KY 42101
Warren County (270) 745-1626
WALKER T. EDWARDS D.O.
Internal Medicine
250 PARK STREET
BOWLING GREEN, KY 42101
Warren County (270) 796-6540
SPRINGFIELD RADIOLOGY ASSOCIATES, PC
Radiology (Diagnostic Radiology)
250 PARK STREET
BOWLING GREEN, KY 42101
Warren County (270) 796-6500
SANJANA BASAVANAGOWDA PATIL
Student in an Organized Health Care Education/Training Program
250 PARK STREET, THE MEDICAL CENTER AT BOWLING GREEN
BOWLING GREEN, KY 42101
Warren County (270) 780-2680

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 Shanna Kozak's NPI number?

The NPI number for Shanna Kozak is 1497053714. It was assigned to this individual provider in the NPPES registry on March 10, 2011.

Where is Shanna Kozak located?

Shanna Kozak practices at 250 Park Street, Bowling Green, KY 42101. The listed phone number is (270) 796-6540.

What is Shanna Kozak's specialty?

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

Is Shanna Kozak enrolled in Medicare?

Yes. Shanna Kozak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanna Kozak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanna Kozak reassigns Medicare benefits to Commonwealth Health Corporation, Inc (Bowling Green, KY). The 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 Shanna Kozak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanna Kozak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Shanna Kozak 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 Shanna Kozak was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.