Individual provider Active NPI

Lori L. Koshowski, CRNP

  • Nurse Practitioner
  • St Johnsbury, VT
National Provider Identifier
1811142144
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010081 Issued in PA
Practice address
185 Sherman Dr
St Johnsbury, VT 05819-9811
Phone
(802) 748-5041
Fax
(802) 748-5094
NPI assigned
Dec 1, 2008
Last updated
Feb 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010081 PA Primary
Nurse Practitioner 363L00000X RN540837 PA

Addresses

Primary practice location

185 Sherman Dr
St Johnsbury, VT 05819-9811

Mailing address

185 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-5041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20091120000553 VT Practitioner - Nurse Practitioner 3779647417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kingdom Healthcare Collaborative, LLCGroup PAC ID 5698949097, 3 clinicians

Practice addresses (Care Compare)

186 Medical Village Dr
Newport, VT 05855-8537
Phone (802) 334-3520

186 Medical Village Dr
Suite 1
Newport, VT 05855-9326

189 Prouty Dr
Newport, VT 05855-9326

468 Hospital Dr
St Johnsbury, VT 05819-9225
Phone (802) 748-7901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.39 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
55.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN540837PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. CurrentSince Feb 9, 2015 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Northeast Kingdom Healthcare Collaborative, LLC CurrentSince Feb 14, 2016 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Feb 7, 2022 Accepting new patients
Northern Counties Health Care Inc CurrentSince Feb 9, 2015 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 695-2512

468 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 223-7723

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1811142144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-5041",
            "fax_number": "802-748-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-5041",
            "fax_number": "802-748-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHOWSKI",
        "first_name": "LORI",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010081",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN540837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.