Individual provider Active NPI

Erin Kosak, NP

  • Primary Care Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1003276676
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
19923 Issued in SC
Practice address
109 Wappoo Creek Dr
Charleston, SC 29412-2135
Phone
(843) 796-7171
Fax
(843) 795-7171
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 19923 SC Primary

Addresses

Primary practice location

109 Wappoo Creek Dr
Charleston, SC 29412-2135

Mailing address

109 Wappoo Creek Dr
Charleston, SC 29412-2135
Phone (843) 796-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160803003073 SC Practitioner - Nurse Practitioner 4789978453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remedy Internal Medicine and Wellness Center P aGroup PAC ID 1557523917, 3 clinicians

Practice addresses (Care Compare)

109 Wappoo Creek Dr
2A
Charleston, SC 29412-2138
Phone (843) 737-5206

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Internal Medicine and Wellness Center P a CurrentSince Jun 1, 2016 Accepting new patients

Locations

109 Wappoo Creek Dr
Ste 2A
Charleston, SC 29412
Phone (843) 737-5206

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7359/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kosak.erin.1@7359.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1003276676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WAPPOO CREEK DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122135",
            "telephone_number": "843-796-7171",
            "fax_number": "843-795-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WAPPOO CREEK DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122135",
            "telephone_number": "843-796-7171",
            "fax_number": "843-795-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAK",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "19923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.