Lane R Kocovsky, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11225 Issued in MN

Practice address

8600 Evergreen Blvd NW
Coon Rapids, MN 55433-6036

Phone

(763) 260-5113

NPI assigned

Jul 11, 2021

Sex

Male

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 NJ, MN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians

Select Urgent Care LLCGroup PAC ID 1658762646, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lane.kocovsky.1@28265.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4

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.

• Advocate Urgent Care PLLC

  • Multi-Specialty Clinic/Center
  • Zimmerman, MN
  • NPI 1568245397
  Medicare reassignment Care Compare group NPD
• Select Urgent Care LLC

  • Clinic/Center
  • Baxter, MN
  • NPI 1952063158
  Medicare reassignment Care Compare group NPD
• Group Health, Inc.

  dba HealthPartners Medical Group

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683
  Medicare reassignment NPD
• DRX Paramus, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  Medicare reassignment NPD
• Excelcare Medical Associates, PA

  • Internal Medicine Physician
  • Teaneck, NJ
  • NPI 1992736300
  Medicare reassignment NPD
• North Jersey Internal Medicine PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1114027885
  Medicare reassignment NPD
• Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
  • NPI 1477927754
  Medicare reassignment NPD
• Group Health, Inc.

  dba HealthPartners Riverside Dental Clinic

  • Pediatric Dentistry
  • Minneapolis, MN
  • NPI 1700932449
  NPD
• Group Health, Inc.

  dba HealthPartners Midway Residency Dental

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1952042053
  NPD
• Atlantic Urgent Care, LLC

  • General Practice Physician
  • Newton, NJ
  • NPI 1023358959
  NPD (past)
• William R. Collini, M.D., P.a.

  • Specialist
  • Newton, NJ
  • NPI 1144426602
  NPD (past)

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1912579996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 EVERGREEN BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336036",
            "telephone_number": "763-260-5113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 3rd St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301445",
            "country_code": "US",
            "telephone_number": "763-587-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCOVSKY",
        "first_name": "LANE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11225",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01169000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Nicole Knauber
• Peder N Knutsen, MD
• Brett Arthur Knutson, DDS
• Cara Diane Knutson, PA-C
• Kristy Knutson, MSE CCC SLP
• Amanda Rae Koethe, OTR
• Kayls Marie Koezly, HID
• Rebecca Kohegyi, CRNA
• Tyler Kohnen, DPT
• Gordon Kohs, RPH

• Family Nurse Practitioner in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.