Individual provider Active NPI

Julia R Koestner, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Paw Paw, MI
National Provider Identifier
1760460562
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
4704145804 Issued in MI
Practice address
451 Health Pkwy
Suite D
Paw Paw, MI 49079-8242
Phone
(269) 655-3070
Fax
(269) 655-0767
NPI assigned
Jan 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 4704145804 MI Primary

Addresses

Primary practice location

451 Health Pkwy
Suite D
Paw Paw, MI 49079-8242

Mailing address

2003 Stearns Ave
Kalamazoo, MI 49008-1823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051011000341 MI Practitioner - Nurse Practitioner 5597780353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704145804MIMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Aug 14, 2013 Accepting new patients
Bronson Lakeview Hospital CurrentSince Aug 14, 2013 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2015 Accepting new patients

Locations

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

5629 Stadium Dr
Ste C
Kalamazoo, MI 49009
Phone (269) 372-5701

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
#D
Paw Paw, MI 49079
Phone (269) 655-3070

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

451 Health Pkwy
Ste D
Paw Paw, MI 49079
Phone (269) 655-1705

Interoperability endpoints

  • Direct secure messaging: jkoestner9693@direct.bronsonhg.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1760460562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 STEARNS AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HEALTH PKWY",
            "address_2": "SUITE D",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798242",
            "telephone_number": "269-655-3070",
            "fax_number": "269-655-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTNER",
        "first_name": "JULIA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704145804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.