Individual provider Active NPI

Rita A Kostelik, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1003009135
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30007853 Issued in WA
Practice address
192 E Bakerview Rd Ste 102
Bellingham, WA 98226-8179
Phone
(425) 212-4200
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30007853 WA Primary
Adult Health Nurse Practitioner 363LA2200X AP30007853 WA

Addresses

Primary practice location

192 E Bakerview Rd Ste 102
Bellingham, WA 98226-8179

Mailing address

6975 Birch Bay Dr
Blaine, WA 98230-9004
Phone (360) 820-8584

Other names 1

  • Rita A Marinkovich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000479 WA Practitioner - Nurse Practitioner 6507927100 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novari Primary Care LLCGroup PAC ID 3476815051, 19 clinicians

Practice addresses (Care Compare)

4686 Pointes Dr
Suite 219
Mukilteo, WA 98275-6038
Phone (425) 405-8089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007853WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Oct 24, 2022 Accepting new patients
Neurostim TMS, PS CurrentSince Mar 1, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Mar 1, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Oct 24, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Novari Primary Care LLC Adult Health CurrentSince May 5, 2025 Accepting new patients
The Polyclinic PLLC CurrentSince May 13, 2019 Accepting new patients
The Polyclinic PLLC CurrentSince May 13, 2019 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Mar 1, 2022 Accepting new patients
Sunrise Services, Inc. CurrentSince Sep 9, 2024 Accepting new patients

Locations

1728 W Marine View Dr
Ste 6
Everett, WA 98201

1728 W Marine View Dr
Everett, WA 98201
Phone (425) 252-9216

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

2500 E College Way
Mount Vernon, WA 98273
Phone (360) 336-3762

4686 Pointes Dr
Ste 219
Mukilteo, WA 98275
Phone (425) 405-8089

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1003009135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 BIRCH BAY DR",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309004",
            "telephone_number": "360-820-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E BAKERVIEW RD STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268179",
            "telephone_number": "425-212-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELIK",
        "first_name": "RITA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007853",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30007853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "MARINKOVICH",
            "middle_name": "A",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.