NPIMap

Individual provider Active NPI

Lindsay Jean Kozicz, PA

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1770736811
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009492 Issued in CO
Practice address
2121 E Harmony Rd Unit 170
Fort Collins, CO 80528-3413
Phone
(203) 695-2517
Fax
(512) 495-5709
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21073 CA
Physician Assistant 363A00000X PA.0009492 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 170
Fort Collins, CO 80528-3413

Mailing address

2121 E Harmony Rd Unit 170
Fort Collins, CO 80528-3413
Phone (203) 695-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200330002141 TX Practitioner - Physician Assistant 8224176482 Reassigns benefits to 3 organizations
I20260211003976 CO Practitioner - Physician Assistant 8224176482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 170 Uchmg Cancer Care and Hem FC
Fort Collins, CO 80528-3413
Phone (970) 493-6337

2765 Bee Caves Rd
Suite 201
Austin, TX 78746-5994
Phone (512) 638-8792

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002150CTMDOptometrist
21073CAMDCertified Respiratory Therapist
PA21073CAMDPhysician Assistant
PA.0009492COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hematologynowmd PLLC CurrentSince Jan 5, 2026 Accepting new patients
University of Texas at Austin CurrentSince May 18, 2020 Accepting new patients
Seton Family of Doctors CurrentSince Jan 4, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Jan 4, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 2, 2026 Accepting new patients
Poudre Valley Medical Group, LLC PastSince Mar 2, 2026 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2121 E Harmony Rd
Unit 170
Fort Collins, CO 80528
Phone (970) 493-6337

6767 29th St
Fl 1
Greeley, CO 80634
Phone (970) 652-2477

2500 Rocky Mountain Ave
Ste 2100UCHMG
Loveland, CO 80538
Phone (970) 203-7000

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

2765 Bee Caves Rd
Ste 201
Austin, TX 78746
Phone (512) 328-2752

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

2028 E Ben White Blvd
Ste 240
Austin, TX 78741

Interoperability endpoints

  • Direct secure messaging: lindsay.kozicz@49420620398596.direct.elationemr.com

Organizations & group practices 7

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1770736811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 170",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283413",
            "telephone_number": "203-695-2517",
            "fax_number": "512-495-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 170",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283413",
            "telephone_number": "203-695-2517",
            "fax_number": "512-495-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZICZ",
        "first_name": "LINDSAY",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21073",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.