Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497955694 Individual Practitioner Female Practitioner

Susan L Kozicz , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Susan Kozicz, NP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Cardiology

Worcester, MA 016550002

Telephone 7744432102
Fax 7744426571
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 138510

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110085658A (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Matthew Melcher , PA

Physician Assistant

NPI 1053462440

Physician Assistant

Michelle Janda-Wasko , PA-C

Physician Assistant

NPI 1194059527

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, WORCESTER, MA 016550002 (Tel: 5083343452)

📍
Updated Business Mailing Address March 22, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as SUSAN KOZICZ, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Nurse Practitioner (License #138510 in MA)

NPI Profile Active November 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2010

Registered at 55 LAKE AVE N, DEPARTMENT OF CARDIOLOGY, WORCESTER, MA 016550002 (Tel: 7744417611)

📍
Updated Business Mailing Address November 05, 2010

Registered at PO BOX 415348, BOSTON, MA 022415348

👤
Provider Name / Credentials Updated November 05, 2010

Recorded as SUSAN KOZICZ, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2010

Nurse Practitioner (License #138510 in MA)

🟢
Initial NPI Registration & Enumeration July 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497955694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2007
Last Update: December 29, 2020
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.