Active NPI
Rachael Kozinski
- Physician Assistant
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3350-23
- Practice address
- 3801 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-4011
- Fax
- (865) 985-7077
- NPI assigned
- Jul 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3350-23 | WI | Primary |
Addresses
Primary practice location
3801 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
10625 W North Ave Ste 102
Wauwatosa, WI 53226-2315
Phone (414) 877-5351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (262) 687-7550
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8173
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
- Ascension All Saints Hospital
- Ascension SE Wisconsin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564185600000",
"number": "1992113302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10625 W NORTH AVE STE 102",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262315",
"telephone_number": "414-877-5351",
"fax_number": "414-877-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-4011",
"fax_number": "865-985-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZINSKI",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2019-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3350-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.