Stephanie Ann Kostan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN310956 Issued in GA

Practice address

10 Doctors St
Metter, GA 30439-3337

Phone

(912) 685-5715

NPI assigned

Sep 16, 2019

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 OH, GA2 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

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.

• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA, OH

  Medicare reassignment NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Family, OH

  Medicare reassignment NPD
• Ohio CVS Stores LLC

  • Pharmacy
  • Cincinnati, OH
  • NPI 1720182546
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)
• Traveling Nurse Practitioner, LLC

  • General Practice Registered Nurse
  • Wadsworth, OH
  • NPI 1588995849
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1336799006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOCTORS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393337",
            "telephone_number": "912-685-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTAN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN310956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bryan Moseley,LLC
• Daniel Frederick Jung, D.O.
• Julie Marshall Karpinsky, CNA
• Kellys Dependable Transport
• Latoya Kennedy
• Jessica Latham, PHARMD
• Loy D. Cowart III MD PC
• Sandra Malone, CADC
• Susan F McLendon, APRN, CNS-BC
• Taylor Watson Mercer, PHARMD

• All providers in Metter, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.