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AMANDA ROSE KOZAKIEWICZ
NPI 1669197950
Nurse Practitioner - Psychiatric/Mental Health in Patchogue, NY

Active since October 10, 2022PECOS Enrolled
57 WASHINGTON AVE, PATCHOGUE, NY 11772(631) 515-7841(631) 518-2502 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2025, Jun 3, 2025, Oct 10, 2022 (3 updates tracked since 2022).

About Amanda Rose Kozakiewicz NPPES

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

AMANDA ROSE KOZAKIEWICZ (NPI 1669197950) is an individual psychiatric/mental health provider in Patchogue, New York, licensed in New York (404432) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669197950
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA ROSE KOZAKIEWICZ
Location Address57 WASHINGTON AVEPatchogue, NY 11772-2950
Mailing Address57 Washington AvePatchogue, NY 11772-2950 · (631) 515-7841 · Fax (631) 518-2502
Phone(631) 515-7841
Fax(631) 518-2502
Sole ProprietorYes
Enumeration DateOctober 10, 2022
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1669197950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404432
57 WASHINGTON AVE, Patchogue, NY 11772
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Rose Kozakiewicz 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 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Amanda Kozakiewicz's NPI number?

The NPI number for Amanda Kozakiewicz is 1669197950. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Amanda Kozakiewicz located?

Amanda Kozakiewicz practices at 57 Washington Ave, Patchogue, NY 11772. The listed phone number is (631) 515-7841.

What is Amanda Kozakiewicz's specialty?

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

Is Amanda Kozakiewicz enrolled in Medicare?

Yes. Amanda Kozakiewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Kozakiewicz was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.