| Kimberly Kay Kozeliski, NP | |
|
6855 4th St Nw, Los Ranchos, NM 87107-6100 | |
| (505) 514-5885 | |
| Not Available |
| Full Name | Kimberly Kay Kozeliski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 6855 4th St Nw, Los Ranchos, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144984063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 65686 (New Mexico) | Secondary |
| 208M00000X | Hospitalist | 65686 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Medical Associates, Llc | 7214831114 | 298 |
| Southwest Emergency Medical Associates Of Nm Pc | 8426324294 | 34 |
| Entity Name | Southwest Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
| Entity Name | Hippocare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255784658 PECOS PAC ID: 0749568350 Enrollment ID: O20161102002515 |
| Entity Name | Southwest Emergency Medical Associates Of Nm Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720505571 PECOS PAC ID: 8426324294 Enrollment ID: O20171023001270 |
| Entity Name | Soar Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295407773 PECOS PAC ID: 9335531631 Enrollment ID: O20220119000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Kay Kozeliski, NP 6855 4th St Nw, Los Ranchos, NM 87107-6100 Ph: (505) 514-5885 | Kimberly Kay Kozeliski, NP 6855 4th St Nw, Los Ranchos, NM 87107-6100 Ph: (505) 514-5885 |