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

Nina Elisabeth Kozar

Individual provider Medical Physician Assistant · NPI 1154169035

Nina Elisabeth Kozar is a Physician Assistant in Leesport, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024

Practice location Address checks out

5 S Centre Ave Ste A3
Leesport, PA 19533-8661
Phone: (610) 926-8352
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OA006929 (PA)

Record details

NPI number1154169035
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Leesport