McKenzie Joy Kostreva, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2022048970 Issued in MO

Practice address

3801 S National Ave
Springfield, MO 65807-5210

Phone

(417) 269-7728

NPI assigned

Dec 21, 2022

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lester E Cox Medical Centers

  dba CoxHealth Springfield Inpatient Physicians

  • Hospitalist Physician
  • Springfield, MO
  • NPI 1902969272
  Medicare reassignment Care Compare group
• Skaggs Community Hospital Association

  dba CoxHealth Center Forsyth

  • Rural Health Clinic/Center
  • Forsyth, MO
  • NPI 1861423683
  Medicare reassignment
• Lester E Cox Medical Centers

  dba CoxHealth Advantage Care Clinic

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1356068605
  NPD
• Lester E Cox Medical Centers

  dba CoxHealth Pathology

  • Clinical Medical Laboratory
  • Springfield, MO
  • NPI 1972925857
  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Family Medicine Branson

  • Family Medicine Physician
  • Branson, MO
  • NPI 1356291298
  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Branson Hospitalist

  • Hospitalist Physician
  • Branson, MO
  • NPI 1477941862
  NPD
• Lester E. Cox Medical Centers

  dba Southwest Spine & Sports

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MO
  • NPI 1033291125
  NPD (past)

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

• Lester E Cox Medical Centers

  dba Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  dba CoxHealth

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  dba Cox Air Care

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1851003834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 S HILLCREST AVE APT 202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 W GARTON RD",
            "address_purpose": "LOCATION",
            "city": "OZARK",
            "state": "MS",
            "postal_code": "65721",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTREVA",
        "first_name": "MCKENZIE",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022048970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kordes, MS PLPC
• Bradley A Korman, CRNA
• Erica Ashley Kosar, NP
• Kosma Mobile X-Ray Co., Inc.
• Kenn J Kostelnik, OD
• Totka R. Koutzeva-Dussel, MD
• Julia Kovalenko, HYG
• Karen Kovalik
• Helen Kozlov, FNP
• Landen Alyse Kozlowski, CRNA

• Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.