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

NPI Status: Active since October 29, 2019

Contact Information

9825 HOSPITAL DR STE 105
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 780-6699
Fax: (763) 420-0500

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  • Individual
  • Female
  • Years of Experience 7
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KELSEY KOSTREBA

This page provides the complete NPI Profile along with additional information for Kelsey Kostreba, a provider established in Maple Grove, Minnesota with a medical specialization in Physician Assistant, focusing in surgical and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1033753546 assigned on October 2019. The practitioner's primary taxonomy code is 363AS0400X with license number 13172 (MN). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1033753546
Provider Name
KELSEY KOSTREBA PA-C
Gender
Female
Entity Type
Individual
Location Address
9825 HOSPITAL DR STE 105 MAPLE GROVE, MN 55369
Location Phone
(763) 780-6699
Location Fax
(763) 420-0500
Mailing Address
9825 HOSPITAL DR STE 105 MAPLE GROVE, MN 55369
Mailing Phone
(763) 780-6699
Mailing Fax
(763) 420-0500
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
10-29-2019
Last Update Date
11-19-2019
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Location Map

Secondary Locations

  • 3366 Oakdale Ave N Ste 200
    Robbinsdale, MN 55422
    (763) 780-6699
  • 2600 39th Ave NE
    Minneapolis, MN 55421
    (763) 780-6699
  • 15450 Highway 7 Ste 225
    Minnetonka, MN 55345
    (763) 780-6699
  • 1495 County Road 101 N
    Plymouth, MN 55447
    (763) 780-6699
  • 7600 France Ave S Ste 4100
    Edina, MN 55435
    (763) 780-6699
  • 1700 Highway 25 N Ste 120
    Buffalo, MN 55313
    (763) 780-6699
  • 11855 Ulysses St NE Ste 210
    Blaine, MN 55434
    (763) 780-6699
  • 5700 Bottineau Blvd Ste 100
    Crystal, MN 55429
    (763) 780-6699
  • 480 Osborne Rd NE Ste 100
    Fridley, MN 55432
    (763) 780-6699
  • 6565 France Ave S Ste 350
    Edina, MN 55435
    (763) 780-6699
  • 7373 France Ave S Ste 408
    Edina, MN 55435
    (763) 780-6699

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
13172
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kelsey Kostreba is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kelsey Kostreba is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527492065

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191217000220

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kelsey Kostreba is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTH MEMORIAL HEALTH HOSPITAL3300 OAKDALE NORTH
ROBBINSDALE, MN 55422
(763) 520-5200Acute Care Hospitals
MAPLE GROVE HOSPITAL9875 HOSPITAL DRIVE
MAPLE GROVE, MN 55369
(763) 581-1563Acute Care Hospitals

Reviews for KELSEY KOSTREBA PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033753546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063145658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 5 + 6 + 5 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1033753546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821031634DR. SUSAN ELIZABETH HUNT-LATTIN M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1194705566 JONATHAN C GIPSON M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1255306148DR. JAMES K CROSTON MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1922073428DR. STEVEN J KERN MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1720053226DR. MATTHEW K KISSNER MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1740255835MS. ALISSA S VENTURA PA-C
Individual
Physician Assistant (Surgical)9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1972600047DR. GREGORY J VITAS M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1760678874 RACHEL DAWN MILLER PA-C
Individual
Physician Assistant (Surgical)9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1558532606DR. KAMRUN JENABZADEH M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1164695581 COREY J STENNES MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1992960207DR. KOURTNEY LYNN KEMP M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1437417763 MUNYARADZI CHIMUKANGARA M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1477053361 JESSICA N SCHINDLER PA-C
Individual
Physician Assistant (Surgical)9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1275761827DR. RACHEL MAUREEN TAY M.D.
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1376012831 ALISON O'MEARA APRN-CNP
Individual
Nurse Practitioner (Gerontology)9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1114065711DR. ADRIANNE L. BOWEN MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1922707710SPECIALISTS IN GENERAL SURGERY, LTD
Organization
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1407003205DR. SARAH LIPPERT MD
Individual
Surgery9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699
1710782008 RACHEL LAWMAN PA-C
Individual
Physician Assistant9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369
(763) 780-6699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033753546, enumerated in the NPI registry as an "individual" on October 29, 2019

The provider is located at 9825 Hospital Dr Ste 105 Maple Grove, Mn 55369 and the phone number is (763) 780-6699

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 7 years of experience.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): NORTH MEMORIAL HEALTH HOSPITAL and MAPLE GROVE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.