Individual provider Active NPI

Heather Anne Kostoff, NP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1568615318
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP115034 Issued in TX
Practice address
2701 Morgan Ave Ste 400
Corpus Christi, TX 78405-1848
Phone
(361) 452-0799
Fax
(877) 587-6802
NPI assigned
Oct 24, 2008
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 697589 TX
Family Nurse Practitioner 363LF0000X AP115034 TX Primary

Addresses

Primary practice location

2701 Morgan Ave Ste 400
Corpus Christi, TX 78405-1848

Mailing address

PO Box 850
Alice, TX 78333-0850
Phone (832) 998-1510

Other practice location 1

230 S Gulf Street
Alice, TX 78332-4310
Phone (361) 664-0303

Other practice location 2

5710 Esplanade Drive
Corpus Christi, TX 78414-4165
Phone (361) 661-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20110825000437 TX Practitioner - Nurse Practitioner 0345410536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carlos R Elizondo MD PLLCGroup PAC ID 0749576874, 10 clinicians

Practice addresses (Care Compare)

2701 Morgan Ave
Suite 400
Corpus Christi, TX 78405-1848
Phone (361) 452-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
697589TXMDNurse Practitioner
AP115034TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos R Elizondo MD PLLC CurrentSince May 6, 2019 Accepting new patients
QC Professional PLLC CurrentSince May 1, 2024 Accepting new patients
QC Urgent Care PLLC CurrentSince May 1, 2024 Accepting new patients
Texas Mobile Medical Group, PLLC Past Accepting new patients

Locations

1044 E Front St
Alice, TX 78332
Phone (361) 664-0202

230 S Gulf St
Alice, TX 78332
Phone (361) 661-0388

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

2701 Morgan Ave
Ste 400
Corpus Christi, TX 78405
Phone (361) 452-0799

5710 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 664-0303

7629 S Staples St
Ste 106A
Corpus Christi, TX 78413
Phone (361) 238-0015

7629 S Staples St
Unit 106A
Corpus Christi, TX 78413
Phone (361) 888-2820

1921 E King Ave
Kingsville, TX 78363
Phone (361) 355-9700

302 E Airline Rd
Victoria, TX 77901
Phone (361) 339-2093

Interoperability endpoints

  • Direct secure messaging: heather.kostoff@elizondomedicalgroup.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1568615318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783330850",
            "telephone_number": "832-998-1510",
            "fax_number": "866-845-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MORGAN AVE STE 400",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051848",
            "telephone_number": "361-452-0799",
            "fax_number": "877-587-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Gulf Street",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324310",
            "country_code": "US",
            "telephone_number": "361-664-0303",
            "fax_number": "866-845-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Esplanade Drive",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144165",
            "country_code": "US",
            "telephone_number": "361-661-8000",
            "fax_number": "877-494-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTOFF",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "697589",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.