Tierney Kozal, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A186285 Issued in IA

Practice address

2913 5TH Ave S
Fort Dodge, IA 50501-2923

Phone

(515) 955-4440

NPI assigned

Jul 31, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
• Stewart Memorial Community Hospital Hospital, Lake City, IA, CCN 161350
• Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Dermatology Clinic PLC

  dba RC Dermatology PLC

  • Dermatology Physician
  • West Des Moines, IA
  • NPI 1679687081

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Iowa Dermatology Clinic PLC

  dba Radiant Complexions Dermatology Clinics or Radiant Pathology

  • Clinical Medical Laboratory
  • West Des Moines, IA
  • NPI 1255679163
  NPD
• Iowa Dermatology Clinic PLC

  dba Radiant Complexions Dermatology Clinic

  • Dermatology Physician
  • Mason City, IA
  • NPI 1578221883
  NPD

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

• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977
  Care Compare affiliation
• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188
  Care Compare affiliation
• Trinity Regional Medical Center

  dba UnityPoint Health Trinity Regional Medical Center

  • General Acute Care Hospital
  • Fort Dodge, IA
  • NPI 1487759858
  Care Compare affiliation

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1548143977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 5TH AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012923",
            "telephone_number": "515-955-4440",
            "fax_number": "515-955-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 5TH AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012923",
            "telephone_number": "515-955-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAL",
        "first_name": "TIERNEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A186285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A186285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kofmehl
• Joette Lynn Kofoot, LMSW
• Tina Koller
• Angela Michelle Koster, LAPC
• Jessica Christine Koval
• Mara Renae Kozisek, PA
• Amanda Jean Kuchenreuther, ARNP
• Kyle Ver Steeg MD PC
• Jeff Allan Lachelt, PHARM D
• Debra K Ladd, N.P.

• Family Nurse Practitioner in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.