Individual provider Active NPI

Mary Eva Ostaszewski, FNP-C

  • Family Nurse Practitioner
  • Sugar Hill, GA
National Provider Identifier
1003013236
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 144234 Issued in GA
Practice address
4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480
Phone
(770) 945-1990
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN144234 GA
Family Nurse Practitioner 363LF0000X RN 144234 GA Primary

Addresses

Primary practice location

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480

Mailing address

4720 Nelson Brogdon Blvd
Buford, GA 30518-3480
Phone (770) 945-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20071003000297 GA Practitioner - Nurse Practitioner 0042305245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri County Internal Medicine, PCGroup PAC ID 9830187988, 6 clinicians

Practice addresses (Care Compare)

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480
Phone (770) 945-1990

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN144234GAMDRegistered Nurse
RN 144234GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Medicine LLC PastSince Jan 30, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGEJCD/Endpoint/AGEJCD
  • FHIR API: https://wpprod.nghs.com/fhir/NGHS/api/FHIR/R4
  • Direct secure messaging: mary.ostaszewski@tcimpc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1003013236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990",
            "fax_number": "770-945-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTASZEWSKI",
        "first_name": "MARY",
        "middle_name": "EVA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN144234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN 144234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

Verify at the official NPI Registry.