Individual provider Active NPI

Karla Ostaszewski, FNP

  • Family Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1972162337
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704230199 Issued in MI
Practice address
48153 Virginia Dr
Macomb, MI 48044-4906
Phone
(586) 243-4181
NPI assigned
Jun 10, 2019
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704230199 MI Primary

Addresses

Primary practice location

48153 Virginia Dr
Macomb, MI 48044-4906

Mailing address

48153 Virginia Dr
Macomb, MI 48044-4906
Phone (586) 243-4181

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
I20220115000180 MI Practitioner - Nurse Practitioner 0042602468 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704230199MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenwood Allergy & Asthma Center, P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

30170 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 949-5900

17965 Hall Rd
Macomb, MI 48044
Phone (586) 465-4722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1972162337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48153 VIRGINIA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444906",
            "telephone_number": "586-243-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48153 VIRGINIA DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444906",
            "telephone_number": "586-243-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTASZEWSKI",
        "first_name": "KARLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704230199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.