Individual provider Active NPI

Kristen Susannah Kozak, CRNP

  • Family Nurse Practitioner
  • Somerset, PA
National Provider Identifier
1942554787
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012885 Issued in PA
Practice address
Somerset Hospital
225 South Center Ave
Somerset, PA 15501
Phone
(814) 443-5800
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012885 PA Primary

Addresses

Primary practice location

Somerset Hospital
225 South Center Ave
Somerset, PA 15501

Mailing address

3056 Menoher Blvd
Johnstown, PA 15905-5603
Phone (814) 483-2146

Other identifiers 1

IdentifierTypeStateIssuer
1942554787MedicaidPA

Other names 1

  • Kristen Hileman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.kozak@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000035 PA Practitioner - Nurse Practitioner 3971808973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

126 E Church St
Somerset, PA 15501-2271

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

348 Budfield St
Johnstown, PA 15904-3214
Phone (814) 262-3950

426 Main St
Berlin, PA 15530-1229
Phone (814) 267-4603

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

  • Upmc Somerset Hospital, Somerset, PA, CCN 390039
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012885PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Somerset Health Services Inc Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Oct 2, 2017 Accepting new patients
Somerset Health Services, Inc. CurrentSince Nov 15, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 7, 2017 Accepting new patients
Univesity of Pittsburgh Physicians CurrentSince Mar 7, 2017 Accepting new patients
Upmc Community Medcine Inc CurrentSince Oct 2, 2017 Accepting new patients
Somerset Health Services, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

420 E Central Way
Bedford, PA 15522
Phone (814) 623-3474

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

348 Budfield St
Johnstown, PA 15904
Phone (814) 262-3950

3601 5th Ave
#700
Pittsburgh, PA 15213
Phone (412) 647-0996

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

126 E Church St
Ste 2400
Somerset, PA 15501
Phone (814) 443-5800

Interoperability endpoints

  • Direct secure messaging: kristen.hileman@upmcdirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1942554787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159055603",
            "telephone_number": "814-483-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOMERSET HOSPITAL",
            "address_2": "225 SOUTH CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-443-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "KRISTEN",
        "middle_name": "SUSANNAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942554787",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.kozak@upmcdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Somerset Hospital",
            "address_2": "225 South Center Ave",
            "city": "Somerset",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HILEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.