Costner Care Family Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

COSTNER CARE FAMILY CLINIC, LLC

Practice address

406 W Railroad Ave
Plains, MT 59859-9597

Phone

(406) 223-7966

NPI assigned

Jan 24, 2021

Last updated

Jan 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Simeon Costner, FNP/APRN, NP-BCNPI 1346542867

Title

Owner

Phone

(406) 223-7966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23889/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath Gerig, FNP-BC

  • Family Nurse Practitioner
  • Coos Bay, OR
  • NPI 1568096188

  MT

  Medicare reassignment NPD
• David Simeon Costner, APRN NP-BC

  • Nurse Practitioner
  • Plains, MT
  • NPI 1346542867
  Authorized official Same address or phone

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1689264558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W RAILROAD AVE",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599597",
            "telephone_number": "406-223-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W RAILROAD AVE",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598599597",
            "telephone_number": "406-223-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTNER CARE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "COSTNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-223-7966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP/APRN, NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Facundus Black, LMT
• Caring Counseling PLLC
• Mark Jay Catalanello, M.D.
• Kathryn Ann Ciraolo, LCSW
• Clark Fork Valley Hospital, Inc
• David Simeon Costner, APRN NP-BC
• County of Sanders - School District 1
• Katrina F Culmer, DO
• Donald D Damschen, MD
• Rhonda Elaine Damschen, M.D.

• Family Nurse Practitioner in Plains, MT
• Providers in Plains, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.