Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaylie Ann Kostyurenko, APN

Individual provider Family Nurse Practitioner · NPI 1093585275

Kaylie Ann Kostyurenko, APN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2023, 3 years ago. Practices with Orthoarkansas PA, a 147-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2024
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone: (501) 404-8007
Fax: (501) 904-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 226618 (AR)

Record details

NPI number1093585275
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJanuary 8, 2024
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Orthoarkansas Pa — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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