Constance R Prostko, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3001854 Issued in KY

Practice address

1704 W Stockton St
Edmonton, KY 42129-8137

Phone

(270) 432-4800

Fax

(270) 432-4804

NPI assigned

Jan 24, 2006

Last updated

Mar 2, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Best Care Medical Clinic, LLCGroup PAC ID 2163761172, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: constance.prostko.1@19075.direct.athenahealth.com
• Direct secure messaging: cprostko@tjrh.cernerdirect.com
• FHIR API: https://api.platform.athenahealth.com/19075/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Care Medical Clinic, LLC

  • Nurse Practitioner
  • Cave City, KY
  • NPI 1649743253
  Medicare reassignment Care Compare group NPD
• T J Health Columbia Inc

  dba T J Health Edmonton

  • Rural Health Clinic/Center
  • Edmonton, KY
  • NPI 1831555358
  Medicare reassignment NPD
• Best Care Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1891443404
  NPD
• T J Health Columbia Inc

  • General Practice Physician
  • Columbia, KY
  • NPI 1164881132
  NPD
• T J Health Columbia Inc

  dba T J Health Tompkinsville Clinic

  • Rural Health Clinic/Center
  • Tompkinsville, KY
  • NPI 1336602838
  NPD
• T J Health Columbia Inc

  dba T J Health Russell Springs

  • Rural Health Clinic/Center
  • Russell Springs, KY
  • NPI 1821454349
  NPD
• T J Health Columbia Inc

  dba T J Health Columbia Primary Care

  • Rural Health Clinic/Center
  • Columbia, KY
  • NPI 1942666466
  NPD
• T J Health Columbia Inc

  dba T J Health Scottsville

  • Rural Health Clinic/Center
  • Scottsville, KY
  • NPI 1952953432
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1508836487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421298137",
            "telephone_number": "270-432-4800",
            "fax_number": "270-432-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421298137",
            "telephone_number": "270-432-4800",
            "fax_number": "270-432-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTKO",
        "first_name": "CONSTANCE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3001854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78018546",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cprostko@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1704 W Stockton St",
            "city": "Edmonton",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421298137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Parmet Inc (Metcalfe Drugs)
• Parmet Inc (Metcalfe Drug)
• James Michael Pasley, LPP
• Billie Pedigo, CSW
• Samantha Paige Perry, MS, LAT, ATC
• Tony Ray Reynolds, R.PH.
• RGS Transport
• Tony Rutherford, CASE MANAGER
• Mark Saderholm, LPCC
• Kaytlyn Sharp, PHARMD

• Nurse Practitioner in Edmonton, KY
• Providers in Edmonton, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.