Individual provider Active NPI

Michelle Noel Kostic, DNP

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1902391386
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9355113 Issued in FL
Practice address
1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone
(850) 383-3382
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9355113 FL Primary

Addresses

Primary practice location

1264 Metropolitan Blvd
Tallahassee, FL 32312-2536

Mailing address

PO Box 15349
Tallahassee, FL 32317-5349
Phone (850) 383-3382

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.kosticarnp.p1@direct.capitalhealthplan.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190228001540 FL Practitioner - Nurse Practitioner 6709125248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Plan, Inc, 42 clinicians

Practice addresses (Care Compare)

1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9355113FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Plan, Inc, CurrentSince Jul 23, 2018 Accepting new patients

Locations

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

1264 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 383-3333

Organizations & group practices 1

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1902391386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15349",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323175349",
            "telephone_number": "850-383-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 METROPOLITAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122536",
            "telephone_number": "850-383-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTIC",
        "first_name": "MICHELLE",
        "middle_name": "NOEL",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9355113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.kosticarnp.p1@direct.capitalhealthplan.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1264 Metropolitan Blvd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323122536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.