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NPI · 1174845846 · NPPES-sourced

Lisa Kotzen PA

ActivePhysician Assistant
NPI Number
1174845846
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(855) 863-8761
License MI · 5601005577
Last Updated
Enumerated
Primary practice addressMI · 48073-6710
3555 W 13 Mile Rd Ste N120Royal Oak, MI 48073-6710
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Also known as

  • Formerly known asJohnides, Lisa Johnides

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1174845846 is registered to Lisa Kotzen PA, a Physician Assistant practising at 3555 W 13 Mile Rd Ste N120 in Royal Oak, Michigan. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Lisa Kotzen PA has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lisa Kotzen PA accepts. To confirm in-network status with your specific health plan, contact Lisa Kotzen PA directly at (855) 863-8761.

Frequently asked

Yes. NPI 1174845846 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (855) 863-8761.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lisa Kotzen PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Michigan.

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