Nicole Kosuda, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

500 N Lewis Run Rd Ste 217
West Mifflin, PA 15122-3070

Phone

(412) 466-3215

Fax

(412) 466-3218

NPI assigned

Dec 13, 2022

Last updated

Apr 14, 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 PA

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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Pennsylvania, PCGroup PAC ID 5799091690, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Dermatology of Pennsylvania, PC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740671767
  Medicare reassignment Care Compare group
• Dermatological Associates PC

  • Dermatology Physician
  • White Oak, PA
  • NPI 1043211436
  NPD
• Motion Orthopedics, PLLC

  dba NY Sports and Joints

  • Orthopaedic Surgery Physician
  • Kew Gardens, NY
  • NPI 1386963254
  NPD
• Milstein Dermatology LLC

  • Dermatology Physician
  • Norristown, PA
  • NPI 1801233358
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1730890427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN RD STE 217",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223070",
            "telephone_number": "412-466-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN RD STE 217",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223070",
            "telephone_number": "412-466-3215",
            "fax_number": "412-466-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Franklin Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115305815",
            "country_code": "US",
            "telephone_number": "212-355-5555",
            "fax_number": "877-992-0798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Lincoln Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "PA",
            "postal_code": "151311642",
            "country_code": "US",
            "telephone_number": "412-678-8806",
            "fax_number": "412-678-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSUDA",
        "first_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "029195-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Marie Keilbach, PA-C
• Celeste Donyelle Kepple, PA-C
• Jeremy Kern
• Arnisha Patrice Patrice Keyes, MSED, LPC, NCC
• Alexandra Klos, CCC
• Robert Elliott Kraftowitz, MD
• Constantine Kralios
• Allison Lancas, CRNP
• Heather Lawry, RN
• Library Pharmacy Inc (Century Square Pharmacy)

• Physician Assistant in West Mifflin, PA
• Providers in West Mifflin, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.