Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629053574 Deactivated / Inactive NPI Female Practitioner

Elizabeth A Kozlicak , NP

Nurse Practitioner • Worcester, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elizabeth Kozlicak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2005
NPI Deactivation Date January 01, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Elizabeth Kozlicak, NP was a registered Nurse Practitioner practicing in Worcester, MA. Throughout an active medical career spanning 21 years, Elizabeth Kozlicak provided care at the practice location at 20 WORCESTER CENTER BLVD until profile deactivation on 2026-01-01.

Practice Location & Contact Primary Location

Practice Address

20 Worcester Center Blvd
Ste 590

Worcester, MA 01608

Telephone 5083683179
Fax 5083683164
Associated Practice Facility / Clinic

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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 96018

(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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Elizabeth Keegan , PA-C

Physician Assistant

NPI 1508066937

Physician Assistant (Certified)

Janitza Thabet , PA-C

Physician Assistant

NPI 1790921831

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 01, 2026

Record deactivated on January 01, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 20 WORCESTER CENTER BLVD, STE 590, WORCESTER, MA 01608 (Tel: 5083683179)

📍
Updated Business Mailing Address July 08, 2007

Registered at 630 PLANTATION ST, WOT 12TH FLOOR ATTN: PHYSICIAN SERVICES, WORCESTER, MA 01605 (Tel: 5083685529)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELIZABETH KOZLICAK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #96018 in MA)

🟢
Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Elizabeth Kozlicak. Be the first to share your experience!

Sign in to leave a review for Elizabeth Kozlicak

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629053574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: July 08, 2007
Deactivation Date: January 01, 2026

Mailing Address

630 Plantation St, Wot 12th Floor Attn: Physician Services

Worcester, MA 01605

Phone: 5083685529

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.