Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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McKenzie Joy Kostreva, PA-C

Individual provider Physician Assistant · NPI 1851003834

McKenzie Joy Kostreva, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2022, 4 years ago. Practices with Lester E Cox Medical Centers, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5210
Phone: (417) 269-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022048970 (MO)

Record details

NPI number1851003834
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lester E Cox Medical Centers — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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