Erica Alexander Kostmayer, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

904935 Issued in MS

Practice address

401 Cowan Rd Unit B
Gulfport, MS 39507-2022

Phone

(228) 202-1144

NPI assigned

Mar 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Kids and Tummies LLC

  • Pediatric Gastroenterology Physician
  • Gulfport, MS
  • NPI 1346779824
  Medicare reassignment NPD
• Children'S Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  Medicare reassignment NPD
• Singing River Health System

  dba Inpatient Physician Services

  • Internal Medicine Physician
  • Pascagoula, MS
  • NPI 1134283419
  NPD (past)

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1306422464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COWAN RD UNIT B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072022",
            "telephone_number": "228-202-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COWAN RD UNIT B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072022",
            "telephone_number": "228-202-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTMAYER",
        "first_name": "ERICA",
        "middle_name": "ALEXANDER",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-156402",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "904935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Kneeland, LCSW
• Cynthia Knighten
• Christopher Knowles, RBT
• Susan Knowlton, FPMHNP
• Krishna Sai Kommineni, MBBS
• Megan Kozlowski, NP
• Ashley Renee Kraft, MD
• Robin Kreger, CRNA
• Rod G Krentel, M.D.
• Jennifer Kriner

• Pediatric Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.