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ANNIKA SVEA KOSTRUBALA PA
NPI 1750647244
Physician Assistant in Fort Collins, CO

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
2121 E HARMONY RD UNIT 300, FORT COLLINS, CO 80528(970) 224-9102(970) 224-9112 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2018, Dec 12, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Annika Svea Kostrubala Pa NPPES

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

ANNIKA SVEA KOSTRUBALA PA (NPI 1750647244) is an individual physician assistant in Fort Collins, Colorado, licensed in Colorado (PA.0004033) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Cheyenne Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1750647244
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNIKA SVEA KOSTRUBALACredential: PA
Location Address2121 E HARMONY RD UNIT 300Fort Collins, CO 80528
Mailing Address2121 E Harmony Rd Unit 300Fort Collins, CO 80528-3403 · (970) 224-9102 · Fax (970) 224-9112
Phone(970) 224-9102
Fax(970) 224-9112
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateJanuary 8, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
✔ NPI 1750647244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CO · PA.0004033✔ Licensed in SC · 2701
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2121 E HARMONY RD UNIT 300, Fort Collins, CO 80528
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Other Names 1

Former Name (1)Annika Kamberelis Pa

Other Identifiers 3

Medicaid1750647244NC
Medicaid66758076CO
Medicaid1433PASC

Accepted Insurance

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

Annika Svea Kostrubala Pa 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 ID2860656006
PECOS Enrollment IDI20140828001295
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services171 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services26 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
23 services23 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Ivinson Memorial Hospital

Acute Care Hospitals · Laramie, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530025
Location255 N 30thLaramie, WY 82072 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers60 claims60 services$39.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers52 claims52 services$97.04 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers49 claims139 services$36.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers35 claims197 services$19.36 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers19 claims109 services$14.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers58 claims58 services$60.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JANE H CASSEL PA-C
Physician Assistant (Medical)
2121 E HARMONY RD UNIT 300
FORT COLLINS, CO 80528
Larimer County (970) 224-9102
DR. BRYCE MIKEL M.D.
Internal Medicine (Pulmonary Disease)
2121 E HARMONY RD UNIT 300
FORT COLLINS, CO 80528
Larimer County (970) 221-9104
POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Pulmonary Disease)
2121 E HARMONY RD UNIT 300
FORT COLLINS, CO 80528
Larimer County (970) 224-9102
JENNIFER MARIE NOLTING NP
Nurse Practitioner
2121 E HARMONY RD UNIT 300
FORT COLLINS, CO 80528
Larimer County (970) 224-9102

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 Annika Kostrubala's NPI number?

The NPI number for Annika Kostrubala is 1750647244. It was assigned to this individual provider in the NPPES registry on April 9, 2012. The provider is also known as Annika Kamberelis PA.

Where is Annika Kostrubala located?

Annika Kostrubala practices at 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528. The listed phone number is (970) 224-9102.

What is Annika Kostrubala's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Annika Kostrubala enrolled in Medicare?

Yes. Annika Kostrubala 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 Annika Kostrubala accept?

Health plans from Medica and UnitedHealthcare list Annika Kostrubala 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 Annika Kostrubala affiliated with any hospitals?

According to CMS data, Annika Kostrubala is affiliated with Cheyenne Regional Medical Center and Ivinson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Annika Kostrubala was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.