AUDRA COSTON PMHNP
NPI 1962012146
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX

Active since August 03, 2020Opted out of Medicare · through Dec 18, 2026
1171 107TH ST, GRAND PRAIRIE, TX 75050(972) 597-0843 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2020, Aug 3, 2020 (2 updates tracked since 2020).

About Audra Coston Pmhnp NPPES

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

AUDRA COSTON PMHNP (NPI 1962012146) is an individual psychiatric/mental health provider in Grand Prairie, Texas, licensed in Texas (AP146041) and active in the NPI registry since August 2020. She has opted out of Medicare through December 18, 2026.

NPPES Registry Identity

NPI1962012146
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUDRA COSTONCredential: PMHNP
Location Address1171 107TH STGrand Prairie, TX 75050-2502
Mailing Address1171 107th StGrand Prairie, TX 75050-2502 · (972) 597-0843
Sole ProprietorYes
Enumeration DateAugust 3, 2020
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
NPI 1962012146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · AP146041
1171 107TH ST, Grand Prairie, TX 75050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Audra Coston Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
1171 107TH ST
GRAND PRAIRIE, TX 75050
Substance Abuse Rehabilitation Facility
1171 107TH ST
GRAND PRAIRIE, TX 75050
Nurse Practitioner
1171 107TH ST
GRAND PRAIRIE, TX 75050
Counselor (Addiction (Substance Use Disorder))
1171 107TH ST
GRAND PRAIRIE, TX 75050
Nurse Practitioner (Psychiatric/Mental Health)
1171 107TH ST
GRAND PRAIRIE, TX 75050
Substance Abuse Rehabilitation Facility
1171 107TH ST
GRAND PRAIRIE, TX 75050
Nurse Practitioner (Psychiatric/Mental Health)
1171 107TH ST
GRAND PRAIRIE, TX 75050
Social Worker
1171 107TH ST
GRAND PRAIRIE, TX 75050

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 Audra Coston's NPI number?

The NPI number for Audra Coston is 1962012146. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Audra Coston located?

Audra Coston practices at 1171 107th St, Grand Prairie, TX 75050. The listed phone number is (972) 597-0843.

What is Audra Coston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Audra Coston enrolled in Medicare?

No. Audra Coston has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Audra Coston was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.