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

Individual provider Physician Assistant · NPI 1659040020

Maureen Kozlow, PA-C is a Physician Assistant in Hobart, Indiana. Qualified in 2021, 5 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 S Lake Park Ave Ste 110
Hobart, IN 46342-6638
Phone: (219) 947-6017
Fax: (219) 947-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003398A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 00000000A (IN)

Record details

NPI number1659040020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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