Individual provider Active NPI

Courtney Marie Cox-Kozel, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1992395958
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G161629 Issued in IA
Practice address
3102 Ingersoll Ave
Des Moines, IA 50312-3910
Phone
(515) 393-1898
Fax
(515) 513-1164
NPI assigned
Jan 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G161629 IA Primary

Addresses

Primary practice location

3102 Ingersoll Ave
Des Moines, IA 50312-3910

Mailing address

3102 Ingersoll Ave
Des Moines, IA 50312-3910
Phone (515) 393-1898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20210310001559 IA Practitioner - Nurse Practitioner 1759797186 Reassigns benefits to 3 organizations
I20240807003709 WV Practitioner - Nurse Practitioner 1759797186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Current Accepting new patients
Forefront Telecare Medical Services PC CurrentSince Jul 25, 2024 Accepting new patients
Forefront Telecare Inc CurrentSince Dec 27, 2023 Accepting new patients
Central Iowa Hospital Corporation Psychiatric/Mental Health CurrentSince Dec 18, 2023 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 18, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 9, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 9, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 11, 2021 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1250 E 9th St
Ste 200
Des Moines, IA 50316
Phone (515) 263-2632

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

128 Capitol St
Charleston, WV 25301
Phone (276) 979-5390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1992395958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123910",
            "telephone_number": "515-393-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123910",
            "telephone_number": "515-393-1898",
            "fax_number": "515-513-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX-KOZEL",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G161629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.