MR. BENJAMIN JOHN KOZLOSKI CRNA
NPI 1841814472
Nurse Anesthetist, Certified Registered in Berlin, WI
About Mr. Benjamin John Kozloski Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN JOHN KOZLOSKI CRNA (NPI 1841814472) is an individual nurse anesthetist, certified registered in Berlin, Wisconsin, licensed in Illinois (041407585) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and 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
Mr. Benjamin John Kozloski Crna 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 Reassignments
2Medicare enrollment records show Benjamin Kozloski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 144 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 162 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension NE Wisconsin - St Elizabeth Campus
Acute Care Hospitals · Appleton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54923 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Benjamin Kozloski's NPI number?
The NPI number for Benjamin Kozloski is 1841814472. It was assigned to this individual provider in the NPPES registry on May 29, 2020.
Where is Benjamin Kozloski located?
Benjamin Kozloski practices at 225 Memorial Dr, Berlin, WI 54923. The listed phone number is (920) 361-1313.
What is Benjamin Kozloski's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Benjamin Kozloski enrolled in Medicare?
Yes. Benjamin Kozloski 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 organizations bill Medicare for Benjamin Kozloski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Kozloski reassigns Medicare benefits to 2 organizations: Association Of Hospital Anesthesiologists Sc (Neenah, WI) and Racine Anesthesia Services, LLC (Mount Pleasant, WI). Each 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 Benjamin Kozloski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Benjamin Kozloski affiliated with any hospitals?
According to CMS data, Benjamin Kozloski is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.
When was this NPI record last updated?
The NPPES record for Benjamin Kozloski was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Benjamin John Kozloski, CRNA · NPI 1841814472
Nurse Anesthetist, Certified Registered physician in Berlin, Wisconsin. Individual provider, active in the CMS NPPES registry since May 29, 2020.
## Identity
- **NPI:** 1841814472 (Entity type: Individual)
- **Enumerated:** May 29, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 041407585 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 MEMORIAL DR, Berlin, WI 54923-1243
- **Phone:** (920) 361-1313
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Hospital Anesthesiologists Sc (NPI 1720076474, Neenah, WI); Racine Anesthesia Services, LLC (NPI 1467782748, Mount Pleasant, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1841814472) · Data from the CMS NPPES public registry.