Individual provider Active NPI

Heather M Kostek, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olean, NY
National Provider Identifier
1770398604
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406655 Issued in NY
Practice address
1 Bluebird SQ
Olean, NY 14760-2552
Phone
(716) 982-7921
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406655 NY Primary

Addresses

Primary practice location

1 Bluebird SQ
Olean, NY 14760-2552

Mailing address

1 Bluebird SQ
Olean, NY 14760-2552
Phone (716) 373-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250514003220 NY Practitioner - Nurse Practitioner 2264950161 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406655NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County South East Corp V CurrentSince Apr 1, 2025 Accepting new patients
Erie County South East Corp V PastSince Apr 1, 2025 Accepting new patients

Locations

2040 Seneca St
Buffalo, NY 14210
Phone (716) 828-0560

1 Bluebird Sq
Olean, NY 14760
Phone (716) 373-1950

227 Thorn Ave
Orchard Park, NY 14127
Phone (716) 539-6737

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1770398604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUEBIRD SQ",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602552",
            "telephone_number": "716-373-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUEBIRD SQ",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602552",
            "telephone_number": "716-982-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTEK",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.