MARY ELIZABETH KOSIBA
NPI 1780640003
Clinical Nurse Specialist - Psychiatric/Mental Health in Saint Cloud, MN

Q: What is Mary Kosiba's NPI number?

The NPI number for Mary Kosiba is 1780640003. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Mary Kosiba's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kosiba was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 25, 2006PECOS Enrolled

4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Elizabeth Kosiba NPPES

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

MARY ELIZABETH KOSIBA (NPI 1780640003) is an individual psychiatric/mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (R05570640) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780640003

Entity TypeIndividualFemale

Primary Taxonomy364SP0808X

Provider Legal NameMARY ELIZABETH KOSIBA

Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015

Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015 · (320) 252-1670

Phone(320) 252-1670

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateMarch 25, 2009

✔ NPI 1780640003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in MN · R05570640

4801 VETERANS DR, Saint Cloud, MN 56303

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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)

Mary Elizabeth Kosiba 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 56303 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

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