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MAKSIM KOZAK PA
NPI 1851858674
Physician Assistant in Faribault, MN

Active since February 28, 2019PECOS Enrolled
35 STATE AVE STE 1, FARIBAULT, MN 55021(507) 497-3528 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Mar 18, 2019, Feb 28, 2019 (3 updates tracked since 2019).

About Maksim Kozak Pa NPPES

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

MAKSIM KOZAK PA (NPI 1851858674) is an individual physician assistant in Faribault, Minnesota, licensed in Minnesota (12822) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Faribault.

NPPES Registry Identity

NPI1851858674
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAKSIM KOZAKCredential: PA
Location Address35 STATE AVE STE 1Faribault, MN 55021
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(507) 497-3528
Sole ProprietorNo
Enumeration DateFebruary 28, 2019
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1851858674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 12822
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.
35 STATE AVE STE 1, Faribault, MN 55021
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Secondary Practice Location 1

Location 1200 State AveFaribault, MN 55021-6339 · Phone (507) 334-6451

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maksim Kozak Pa 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 55021 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS JAY KAISER MD
Orthopaedic Surgery
35 STATE AVE STE 1
FARIBAULT, MN 55021
Rice County (507) 497-3528
MEGAN ELIZABETH HAZEL PA-C
Physician Assistant
35 STATE AVE STE 1
FARIBAULT, MN 55021
Rice County (952) 946-9777
JESSE MICHAEL ANDERSON PA-C
Physician Assistant
35 STATE AVE STE 1
FARIBAULT, MN 55021
Rice County (507) 497-3528
ALLINA HEALTH SYSTEM
Orthopaedic Surgery
35 STATE AVE STE 1
FARIBAULT, MN 55021
Rice County (507) 497-3528

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 Maksim Kozak's NPI number?

The NPI number for Maksim Kozak is 1851858674. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Maksim Kozak located?

Maksim Kozak practices at 35 State Ave Ste 1, Faribault, MN 55021. The listed phone number is (507) 497-3528.

What is Maksim Kozak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maksim Kozak enrolled in Medicare?

Yes. Maksim Kozak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maksim Kozak was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.