Individual provider Active NPI

Jennifer Marie Kosisky, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1437822194
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
259766 Issued in AZ
Practice address
4344 E Presidio St
Mesa, AZ 85215-1143
Phone
(480) 834-5111
NPI assigned
Jul 28, 2021
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 259766 AZ Primary

Addresses

Primary practice location

4344 E Presidio St
Mesa, AZ 85215-1143

Mailing address

4344 E Presidio St
Mesa, AZ 85215-1143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210810000458 AZ Practitioner - Nurse Practitioner 3577967801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman's Center for Advanced Pelvic Surgery PLLPGroup PAC ID 5890714448, 9 clinicians

Practice addresses (Care Compare)

4344 E Presidio St
Mesa, AZ 85215-1143
Phone (480) 834-5111

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
87.32
Promoting interoperability
100
Improvement activities
40
Cost
71.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woman's Center for Advanced Pelvic Surgery PLLP CurrentSince Aug 2, 2021 Accepting new patients
Kelly H. Roy, MD, PC PastSince Aug 1, 2021 Accepting new patients

Locations

4344 E Presidio St
Mesa, AZ 85215
Phone (480) 834-5111

Interoperability endpoints

  • Direct secure messaging: jennifer.schwartz.1@807.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1437822194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151143",
            "telephone_number": "480-834-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSISKY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "259766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.