Samantha Lynn Kostelac, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020022341 Issued in MO

Practice address

4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342

Phone

(816) 960-7600

Fax

(816) 960-7699

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Samantha Lynn Nolker Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Lukes Home Care Home health agency, Kansas City, MO, CCN 267195
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
• Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
• Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
• John Knox Village Care Center Nursing home, Lees Summit, MO, CCN 265095

Merit-based Incentive Payment System (MIPS)

Final score

82.56 of 100Reported as group

Quality

76.07

Promoting interoperability

100

Improvement activities

40

Cost

65.79

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snolker9344@direct.saint-lukes.org

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.

• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  KS

  Medicare reassignment Care Compare group NPD

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

• John Knox Village

  • Skilled Nursing Facility
  • Lees Summit, MO
  • NPI 1023005592

  Nursing home

  Care Compare affiliation
• Saint Luke'S Health System Home Care and Hospice

  • Home Health Agency
  • Kansas City, MO
  • NPI 1114984275
  Care Compare affiliation
• Saint Luke'S North Hospital

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1942241799
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• Saint Lukes Hospital of Chillicothe

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke'S Hospital of Kansas City

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337
  Care Compare affiliation

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1730718867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-960-7600",
            "fax_number": "816-960-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 520",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-960-7600",
            "fax_number": "816-960-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELAC",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2013017085",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "MO",
            "license": "2013017085",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5379596",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020022341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "NOLKER",
            "middle_name": "LYNN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Kosinska, MD
• Karl E Kosse, M.D.
• Dylan James Kossl, MD
• Sarah Kost
• Lindsey Kostal
• Aaron Todd Koster, MD
• Sarah Kostoryz, S-MFT, R-DMT
• Julie Grace Kostreva, MD
• Manish Krishna Kotecha, MD
• Alexander P Kotera, DPT

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.