Individual provider Active NPI

Joseph Kozlosky, APNP

  • Nurse Practitioner
  • West Allis, WI
National Provider Identifier
1124591524
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8977-33 Issued in WI
Practice address
10827 W Lincoln Ave
West Allis, WI 53227-1127
Phone
(414) 541-6010
Fax
(414) 541-5509
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8977-33 WI Primary

Addresses

Primary practice location

10827 W Lincoln Ave
West Allis, WI 53227-1127

Mailing address

10827 W Lincoln Ave
West Allis, WI 53227-1127
Phone (414) 541-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8977-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Home Care Services Inc CurrentSince Jan 1, 2010 Accepting new patients

Locations

10827 W Lincoln Ave
West Allis, WI 53227
Phone (414) 209-4228

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1124591524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10827 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271127",
            "telephone_number": "414-541-6010",
            "fax_number": "414-541-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10827 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271127",
            "telephone_number": "414-541-6010",
            "fax_number": "414-541-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOSKY",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8977-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.