Individual provider Active NPI

Kelsey P Cozby, PA-C

  • Physician Assistant
  • Columbia, MO
National Provider Identifier
1679925077
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016023433 Issued in MO
Practice address
1 Hospital Dr
Dept of Emergency Medicine Dc029.10
Columbia, MO 65212-1000
Phone
(573) 884-3386
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2016023433 MO Primary

Addresses

Primary practice location

1 Hospital Dr
Dept of Emergency Medicine Dc029.10
Columbia, MO 65212-1000

Mailing address

160 Turnberry PL Apt G
Saint Peters, MO 63376-4472

Other practice location 1

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160809001875 MO Practitioner - Physician Assistant 4385938653 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.85 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
72.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2016023433MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 10, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 10, 2022 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

Organizations & group practices 9

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679925077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TURNBERRY PL APT G",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "DEPT OF EMERGENCY MEDICINE DC029.10",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11133 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366163",
            "country_code": "US",
            "telephone_number": "314-653-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COZBY",
        "first_name": "KELSEY",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016023433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.