Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elizabeth Copeland Kozak, DO

Individual provider Family Medicine Physician · NPI 1689255028

Mary Elizabeth Copeland Kozak, DO is a Family Practice in Newburgh, Indiana. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2021, 5 years ago. Practices with St Marys Medical Group LLC, a 228-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
5
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
IL, IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 St Marys Epworth Xing # A300
Newburgh, IN 47630-9497
Phone: (812) 485-7752
Fax: (812) 485-7753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 375 N Wall St Ste P310, Kankakee, IL 60901-3484 — (815) 933-0194
  • 815 Main St Ste C, Peoria, IL 61602-1080 — (309) 672-4977

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036166884 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02008517A (IN)

Record details

NPI number1689255028
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 17, 2021
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice St Marys Medical Group Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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