Anna Theresa Koester, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

308311 Issued in AZ

Practice address

14800 W Mountain View Blvd Ste 160
Surprise, AZ 85374-2700

Phone

(623) 584-3376

Fax

(623) 584-3375

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Dermatology Specialists, PLLCGroup PAC ID 6204085145, 6 clinicians

Practice addresses (Care Compare)

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.

• Arizona Dermatology Specialists, PLLC

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1992061162
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1306627989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 160",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742700",
            "telephone_number": "623-584-3376",
            "fax_number": "623-584-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "ANNA",
        "middle_name": "THERESA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "308311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Klunk, CPNP
• KMS Solutions, LLC
• Tina M Knezevic, PAC
• Karli Jo Knight, COTA/L
• James Ryan Knori
• Samantha Erin Kogler, OTD
• Kokopelli Eye Care PC
• Jaiden Kooiman
• Angel Koontz, SLP
• Heather Koslow

• Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.

Verify at the official NPI Registry.