NICOLE KOSUDA PA
NPI 1730890427
Physician Assistant in West Mifflin, PA

Active since December 13, 2022PECOS EnrolledAccepts Medicare Assignment
500 N LEWIS RUN RD STE 217, WEST MIFFLIN, PA 15122(412) 466-3215(412) 466-3218 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Kosuda Pa NPPES

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

NICOLE KOSUDA PA (NPI 1730890427) is an individual physician assistant in West Mifflin, Pennsylvania and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730890427
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE KOSUDACredential: PA
Location Address500 N LEWIS RUN RD STE 217West Mifflin, PA 15122-3070
Mailing Address500 N Lewis Run Rd Ste 217West Mifflin, PA 15122-3070 · (412) 466-3215
Fax(412) 466-3218
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
NPI 1730890427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 029195-01 (NY)
500 N LEWIS RUN RD STE 217, West Mifflin, PA 15122

Secondary Practice Locations 2

Location 11220 Lincoln Way Ste 101White Oak, PA 15131-1642 · Phone (412) 678-8806 · Fax (412) 678-3780
Location 2520 Franklin Ave Ste 212Garden City, NY 11530-5815 · Phone (212) 355-5555 · Fax (877) 992-0798

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Kosuda Pa 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 ID2264957273
PECOS Enrollment IDI20250422002100
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 15122 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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

The NPI number assigned to this healthcare provider is 1730890427, enumerated as an "individual" on December 13, 2022.

The provider is located at 500 N LEWIS RUN RD STE 217 WEST MIFFLIN, PA 15122 and the phone number is (412) 466-3215.

Physician Assistant with taxonomy code 363A00000X.