1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Physician Assistant
  6. NPI Profile

KELSEY KOSTREBA PA-C
NPI 1033753546
Physician Assistant - Surgical in Maple Grove, MN

Active since October 29, 2019PECOS EnrolledAccepts Medicare Assignment
9825 HOSPITAL DR STE 105, MAPLE GROVE, MN 55369(763) 780-6699(763) 420-0500 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2019, Oct 29, 2019 (2 updates tracked since 2019).

About Kelsey Kostreba Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY KOSTREBA PA-C (NPI 1033753546) is an individual surgical provider in Maple Grove, Minnesota, licensed in Minnesota (13172) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033753546
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELSEY KOSTREBACredential: PA-C
Location Address9825 HOSPITAL DR STE 105Maple Grove, MN 55369-4769
Mailing Address9825 Hospital Dr Ste 105Maple Grove, MN 55369-4769 · (763) 780-6699 · Fax (763) 420-0500
Phone(763) 780-6699
Fax(763) 420-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2019
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
✔ NPI 1033753546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 13172
9825 HOSPITAL DR STE 105, Maple Grove, MN 55369
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Kostreba Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527492065
PECOS Enrollment IDI20191217000220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADRIANNE L. BOWEN MD
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
COREY J STENNES MD
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
JONATHAN C GIPSON M.D.
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
DR. JAMES K CROSTON MD
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
DR. RACHEL MAUREEN TAY M.D.
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
ALISON O'MEARA APRN-CNP
Nurse Practitioner (Gerontology)
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
DR. SARAH LIPPERT MD
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699
MUNYARADZI CHIMUKANGARA MD
Surgery
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
Hennepin County (763) 780-6699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Kostreba's NPI number?

The NPI number for Kelsey Kostreba is 1033753546. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Kelsey Kostreba located?

Kelsey Kostreba practices at 9825 Hospital Dr Ste 105, Maple Grove, MN 55369. The listed phone number is (763) 780-6699.

What is Kelsey Kostreba's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelsey Kostreba enrolled in Medicare?

Yes. Kelsey Kostreba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelsey Kostreba accept?

Health plans from HealthPartners and Medica list Kelsey Kostreba as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsey Kostreba affiliated with any hospitals?

According to CMS data, Kelsey Kostreba is affiliated with North Memorial Health Hospital, Buffalo Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Kostreba was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.