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MCKENZIE JOY KOSTREVA PA-C
NPI 1851003834
Physician Assistant in Springfield, MO

Active since December 21, 2022PECOS EnrolledAccepts Medicare Assignment
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-7728 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenzie Joy Kostreva Pa-c NPPES

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

MCKENZIE JOY KOSTREVA PA-C (NPI 1851003834) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2022048970) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851003834
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENZIE JOY KOSTREVACredential: PA-C
Location Address3801 S NATIONAL AVESpringfield, MO 65807-5210
Mailing Address4042 S Hillcrest Ave Apt 202Springfield, MO 65807-6080
Phone(417) 269-7728
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1851003834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2022048970
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.
3801 S NATIONAL AVE, Springfield, MO 65807
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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

Mckenzie Joy Kostreva 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 ID8729459086
PECOS Enrollment IDI20230124001474
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

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 20

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

KALEB AFSHAR
Anesthesiology
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4550
CHARIS DENOVI
Anesthesiologist Assistant
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6000
MICHAEL R FANCHER M.D.
Radiology (Diagnostic Radiology)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4056
GREGORY J KUTTER MD
Emergency Medicine
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-6583
ETHEL MARIE ALLISON RN, MPH, BSN, CDE
Registered Nurse (Diabetes Educator)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 269-4264
CHELSEA LANDGRAF PHARMD, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3801 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 576-8877
ROBERT D STRANG M.D.
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
SPRINGFIELD, MO 65807
Greene County (417) 885-3888
CHAD J MORGAN M.D.
Neurological Surgery
3801 S NATIONAL AVE, WEST TOWER, SUITE 700
SPRINGFIELD, MO 65807
Greene County (417) 885-3888

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 Mckenzie Kostreva's NPI number?

The NPI number for Mckenzie Kostreva is 1851003834. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Mckenzie Kostreva located?

Mckenzie Kostreva practices at 3801 S National Ave, Springfield, MO 65807. The listed phone number is (417) 269-7728.

What is Mckenzie Kostreva's specialty?

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

Is Mckenzie Kostreva enrolled in Medicare?

Yes. Mckenzie Kostreva 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.

Is Mckenzie Kostreva affiliated with any hospitals?

According to CMS data, Mckenzie Kostreva is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for Mckenzie Kostreva was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.