Active NPI
Michelle Noel Kostic, DNP
- Nurse Practitioner
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9355113
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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,
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9355113 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Plan, Inc, | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.