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JANE ALISON KOTARSKI CNP
NPI 1922046374
Nurse Practitioner - Gerontology in Grand Rapids, MI

Active since June 04, 2006PECOS Enrolled
330 BARCLAY AVE NE, SUITE 200, GRAND RAPIDS, MI 49503(616) 391-2802(616) 391-2840 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2022, Feb 25, 2021 (2 updates tracked since 2021).

About Jane Alison Kotarski Cnp NPPES

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

JANE ALISON KOTARSKI CNP (NPI 1922046374) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704118432) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922046374
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJANE ALISON KOTARSKICredential: CNP
Location Address330 BARCLAY AVE NE, SUITE 200Grand Rapids, MI 49503-2556
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-2802
Fax(616) 391-2840
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1922046374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704118432
330 BARCLAY AVE NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Alison Kotarski Cnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jane Kotarski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeview Health Center PC
38 mi
Internal Medicine
418 WASHINGTON ST.
Lakeview, MI 48850
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1538355144 (989) 352-6474

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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers21 claims1,410 services$2.03 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
4 suppliers40 claims8,174 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers129 claims13,525 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers135 claims24,070 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers120 claims27,942 services$0.20 avg. paid by Medicare
Everolimus, oral, 0.25 mg J7527
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers30 claims5,970 services$3.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WEST MICHIGAN HEART
Internal Medicine (Cardiovascular Disease)
330 BARCLAY AVE NE, SUITE 200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6793
MOUNIR DJEMIL MD
Pediatrics
330 BARCLAY AVE NE, SUITE 300
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
AKUNNE NDIKA M.D.
Pediatrics
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MRS. ANGELA KAY BARTON
Audiologist
330 BARCLAY AVE NE, SUITE GL1
GRAND RAPIDS, MI 49503
Kent County (616) 459-2424
ASHLEY ANN SUE STORMS MD
Obstetrics & Gynecology
330 BARCLAY AVE NE, STE 304
GRAND RAPIDS, MI 49503
Kent County (616) 391-2160
DR. DAVID JAMES DEWITT M.D.
Obstetrics & Gynecology
330 BARCLAY AVE NE, SUITE 102
GRAND RAPIDS, MI 49503
Kent County (616) 391-1929
DANIEL JOSEPH WATKINS MD
Surgery (Pediatric Surgery)
330 BARCLAY AVE NE, SUITE 202
GRAND RAPIDS, MI 49503
Kent County (616) 458-1722
CONSTANCE RENEE JORDAN M.D.
Pediatrics
330 BARCLAY AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810

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 Jane Kotarski's NPI number?

The NPI number for Jane Kotarski is 1922046374. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Jane Kotarski located?

Jane Kotarski practices at 330 Barclay Ave NE Suite 200, Grand Rapids, MI 49503. The listed phone number is (616) 391-2802.

What is Jane Kotarski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jane Kotarski enrolled in Medicare?

Yes. Jane Kotarski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jane Kotarski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Kotarski reassigns Medicare benefits to Lakeview Health Center PC (Lakeview, MI). 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 Jane Kotarski'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 Jane Kotarski was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.