Individual provider Active NPI

Andrea Kostelac, NP

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1699170282
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16754-NP Issued in OH
Practice address
330 E 8TH St Ste 151
Marietta, OH 45750-3383
Phone
(740) 374-4945
Fax
(740) 374-4943
NPI assigned
Oct 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.16754-NP OH Primary

Addresses

Primary practice location

330 E 8TH St Ste 151
Marietta, OH 45750-3383

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Other practice location 1

802 Wayne St Ste 206
Marietta, OH 45750-3300
Phone (740) 373-7999

Other practice location 2

300 E 8th St Ste 120
Marietta, OH 45750-3379
Phone (740) 374-4273

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address andrea.kostelac@mmhs.medicity.net Direct
Direct Messaging Address andrea.kostelac@mmhs.medicity.net
Direct Messaging Address andrea.kostelac@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20141119001860 OH Practitioner - Nurse Practitioner 6103048566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

300 E 8TH St
Marietta, OH 45750-3379

330 E 8TH St
Marietta, OH 45750-3383

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

  • Marietta Home Health and Hospice, an Amedisys Part Home health agency, Marietta, OH, CCN 368230
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Selby General Hospital Hospital, Marietta, OH, CCN 361319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.16754-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Aug 22, 2025 Accepting new patients
Selby General Hospital CurrentSince Aug 22, 2025 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

330 E 8th St
Marietta, OH 45750
Phone (740) 374-1400

330 E 8th St
Ste 151
Marietta, OH 45750
Phone (740) 374-4945

330 E 8th St
Ste 150
Marietta, OH 45750
Phone (740) 376-5590

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

802 Wayne St
Ste 206
Marietta, OH 45750
Phone (740) 373-0669

300 E 8th St
#120
Marietta, OH 45750
Phone (740) 374-4273

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1699170282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 8TH ST STE 151",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503383",
            "telephone_number": "740-374-4945",
            "fax_number": "740-374-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Wayne St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503300",
            "country_code": "US",
            "telephone_number": "740-373-7999",
            "fax_number": "740-373-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 8th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503379",
            "country_code": "US",
            "telephone_number": "740-374-4273",
            "fax_number": "740-376-5098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTELAC",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-26",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16754-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.kostelac@mmhs.medicity.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 E 8th St Ste 120",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.kostelac@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "330 E 8th St Ste 151",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.kostelac@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "802 Wayne St Ste 206",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.