AUDRA COSTON PMHNP
NPI 1962012146
Nurse Practitioner - Psychiatric/Mental Health in Grand Prairie, TX
NPI Status: Active since August 03, 2020
Contact Information
1171 107TH ST
GRAND PRAIRIE, TX
ZIP 75050
Phone: (972) 597-0843
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Opted-Out Medicare
About AUDRA COSTON
This page provides the complete NPI Profile along with additional information for Audra Coston, a provider established in Grand Prairie, Texas with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1962012146 assigned on August 2020. The practitioner's primary taxonomy code is 363LP0808X with license number AP146041 (TX). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1962012146
- Provider Name
- AUDRA COSTON PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1171 107TH ST GRAND PRAIRIE, TX 75050
- Location Phone
- (972) 597-0843
- Mailing Address
- 1171 107TH ST GRAND PRAIRIE, TX 75050
- Mailing Phone
- (972) 597-0843
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-03-2020
- Last Update Date
- 11-03-2020
- Code Navigator
A nurse practitioner (NP) like Audra Coston is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Audra Coston opted out of Medicare effective on 12-18-2024 until 12-18-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP146041
- License State
- TX
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-18-2024
Opt-Out End Date: 12-18-2026
Eligible to Order and Refer? No
Reviews for AUDRA COSTON PMHNP
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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. | |||||||||
| 1 | 9 | 6 | 2 | 0 | 1 | 2 | 1 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 0 | 1 | 4 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 0 + 1 + 4 + 1 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1962012146 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 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871166934 | CHRISTY GAYLE HARDEE LMSW Individual | Social Worker | 1171 107TH ST GRAND PRAIRIE, TX 75050 (817) 649-3700 |
| 1871850750 | GRAND PRAIRIE PROFESSIONAL GROUP, P. A. Organization | Psychiatry & Neurology (Addiction Psychiatry) | 1171 107TH ST GRAND PRAIRIE, TX 75050 (615) 727-8387 |
| 1154924033 | VEDA MARIE VON BERGEN NP Individual | Nurse Practitioner | 1171 107TH ST GRAND PRAIRIE, TX 75050 (972) 597-0843 |
| 1013564160 | ANGELA MICHELLE DICKERSON LPC Individual | Counselor (Professional) | 1171 107TH ST GRAND PRAIRIE, TX 75050 (817) 649-3700 |
| 1063786069 | GREENHOUSE TREATMENT CENTER, LLC Organization | Substance Abuse Rehabilitation Facility | 1171 107TH ST GRAND PRAIRIE, TX 75050 (817) 640-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962012146, enumerated in the NPI registry as an "individual" on August 03, 2020
The provider is located at 1171 107th St Grand Prairie, Tx 75050 and the phone number is (972) 597-0843
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
No, the provider signed an affidavit on December 18, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 18, 2026.
This NPI record was last updated on August 03, 2020. 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].
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