Active NPI
Skylar Marie Kostick, PA-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA68413
- Practice address
- 1975 4TH St # 4012
San Francisco, CA 94143-2351 - Phone
- (415) 353-1352
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA006465 | PA | |
| Physician Assistant | 363A00000X | PA68413 | CA | Primary |
Addresses
Primary practice location
1975 4TH St # 4012
San Francisco, CA 94143-2351
Mailing address
108 Cheswold CT
Chesterbrook, PA 19087-5628
Phone (610) 849-3082
Other practice location 1
7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734
Phone (610) 849-3082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA006465 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients |
Locations
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Interoperability endpoints
- skostick4609018@direct.trinity-health.org
Organizations & group practices 7
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.
-
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Surgery Physician
- Chester, PA
- NPI 1922455443
-
- Clinical Cardiac Electrophysiology Physician
- Langhorne, PA
- NPI 1316577059
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
- Trauma Surgery Physician
- Langhorne, PA
- NPI 1093771271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1164119574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CHESWOLD CT",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190875628",
"telephone_number": "610-849-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 4TH ST # 4012",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432351",
"telephone_number": "415-353-1352"
}
],
"practiceLocations": [
{
"address_1": "7150 Hamilton Blvd Unit 400",
"address_purpose": "LOCATION",
"city": "Trexlertown",
"state": "PA",
"postal_code": "180879734",
"country_code": "US",
"telephone_number": "610-849-3082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSTICK",
"first_name": "SKYLAR",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA006465",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA68413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.