Tanya Ann Kozuch, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029257 Issued in PA

Practice address

200 E State St Ste 205
Media, PA 19063-3434

Phone

(610) 521-2053

NPI assigned

May 10, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance Physician Services, PC

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350

  Single Specialty

  Medicare reassignment NPD
• Optimal Orthopaedics PLLC

  • Pain Medicine Physician
  • Brookhaven, PA
  • NPI 1326655267

  DE

  Medicare reassignment
• Alliance Physician Services, PC /Dba Midlantic Urology

  • Urology Physician
  • Bala Cynwyd, PA
  • NPI 1558889956
  NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Raleigh, NC
  • NPI 1639963531

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053169367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-521-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-521-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUCH",
        "first_name": "TANYA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Noah Kornberg, D.O.
• Lauren Marie Kossler, M.ED
• John A Kotyo, MD
• Anastassios Koussis, DDS
• Heidi Kozic, MD
• Thomas Krakower, D.M.D.
• John Krall, LCSW
• Sandra Sue Kramer, MD
• Jillian Kratz, RBT
• Meghan Rachel Kuhlman, DPT

• Family Nurse Practitioner in Media, PA
• Providers in Media, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.