ELEXIS NICOLE KOZIK RDN, LDN
NPI 1790572709
Dietitian, Registered in Wexford, PA
About Elexis Nicole Kozik Rdn, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEXIS NICOLE KOZIK RDN, LDN (NPI 1790572709) is an individual dietitian, registered in Wexford, Pennsylvania, licensed in Pennsylvania (DN008968) and active in the NPI registry since April 2025. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elexis Nicole Kozik Rdn, Ldn 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.
Medicare Billing Reassignment
Medicare enrollment records show Elexis Kozik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wexford, PA 15090
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
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 15090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEXFORD, PA 15090
WEXFORD, PA 15090
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 Elexis Kozik's NPI number?
The NPI number for Elexis Kozik is 1790572709. It was assigned to this individual provider in the NPPES registry on April 23, 2025.
Where is Elexis Kozik located?
Elexis Kozik practices at 6500 Brooktree Rd, Wexford, PA 15090. The listed phone number is (724) 719-2669.
What is Elexis Kozik's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Elexis Kozik enrolled in Medicare?
Yes. Elexis Kozik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elexis Kozik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elexis Kozik reassigns Medicare benefits to Revelations Counseling & Wellness (Wexford, PA). 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 Elexis Kozik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elexis Kozik was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Elexis Nicole Kozik, RDN, LDN · NPI 1790572709
Dietitian, Registered provider in Wexford, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 23, 2025.
## Identity
- **NPI:** 1790572709 (Entity type: Individual)
- **Enumerated:** April 23, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DN008968 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 BROOKTREE RD, Wexford, PA 15090-9272
- **Phone:** (724) 719-2669
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Revelations Counseling & Wellness (NPI 1215764550, Wexford, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790572709) · Data from the CMS NPPES public registry.