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

Samantha Lynn Kostelac, FNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1730718867

Samantha Lynn Kostelac, FNP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2013, 13 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
13
Licensed in
KS, MO
In the registry since
2020
Specialties on file
5
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4400 Broadway Blvd Ste 520
Kansas City, MO 64111-3342
Phone: (816) 960-7600
Fax: (816) 960-7699
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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 2020022341 (MO)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 2013017085 (MO)
Neuroscience Registered Nurse Taxonomy 163WN0800X · Licence 2013017085 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5379596 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730718867
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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