Individual provider Active NPI

Thomas Koste, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1992324016
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021776 Issued in PA
Practice address
2030 N 3Rd St
Harrisburg, PA 17102-1814
Phone
(717) 233-3106
NPI assigned
Apr 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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 SP021776 PA Primary

Addresses

Primary practice location

2030 N 3Rd St
Harrisburg, PA 17102-1814

Mailing address

1668 Terrapin Cir
Cambridge, MD 21613-3043

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://evolv.yapinc.org/evolv_cs Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200908000573 PA Practitioner - Nurse Practitioner 9234556226 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Medical Services, Inc. CurrentSince Aug 24, 2020 Accepting new patients
Springfield Psychological PC CurrentSince Sep 15, 2020 Accepting new patients
Reading Behavioral Healthcare, LLC CurrentSince Aug 27, 2020 Accepting new patients
Momentum Services, LLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460

50 Parkwood Dr
Chambersburg, PA 17201
Phone (717) 262-2183

201 Wellness Way
Reading, PA 19605
Phone (484) 339-6037

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

4610 E Street Rd
Trevose, PA 19053
Phone (215) 364-3299

Organizations & group practices 4

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1992324016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 TERRAPIN CIR",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021814",
            "telephone_number": "717-233-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTE",
        "first_name": "THOMAS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://evolv.yapinc.org/evolv_cs",
            "affiliation": "N",
            "endpointDescription": "evolv",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2030 N 3rd St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171021814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.