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

Nicole Kosakowski, PA

Individual provider Physician Assistant · NPI 1356784292

Nicole Kosakowski, PA is a Physician Assistant in Jacksonville, North Carolina. Qualified in 2012, 14 years ago. Practices with Med First Immediate Care and Family Practice PA, a 96-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

120 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 577-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 — (704) 563-2150
  • 10210 Couloak Dr, Charlotte, NC 28216-7679 — (704) 801-2000
  • 7810 Providence Rd, Charlotte, NC 28226-2954 — (704) 543-6636
  • 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2206 — (704) 863-9930
  • 118 Memorial Dr, Jacksonville, NC 28546-6328 — (910) 353-0581
  • 332 N Trade St, Matthews, NC 28105-1728 — (704) 512-6850

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09068 (NC)

Record details

NPI number1356784292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Med First Immediate Care And Family Practice Pa — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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