KATHALINA VERSHELLE LACOSTE (NP) – Family Nurse Practitioner, NPI 1255459335

KATHALINA VERSHELLE LACOSTE (NP) is a healthcare provider. based in Stone mountain, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 114591 (GA). The NPI Number for KATHALINA VERSHELLE LACOSTE (NP) is 1255459335

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KATHALINA VERSHELLE LACOSTE (NP)
NPI
1255459335
Phone
(678) 777-5995
Address
5049 HIGHLAND HILLS PKWY
Enumeration Date
27 March 2007
Last Update Date
5 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707252399
Graduation Year
1995 (31 years ago)
PAC ID
9335182211
Group Practice PAC ID
3779708649
Professional Enrollment ID
I20050602000553
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KATHALINA VERSHELLE LACOSTE (NP)

  • 5049 HIGHLAND HILLS PKWY

    STONE MOUNTAIN, GA 300883740

    Phone: (678) 777-5995

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602000553INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes5725$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4615$0
99497Advance care planning, first 30 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 30088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779708649View full group profile

Reviews

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Frequently asked questions

How do payers reference KATHALINA VERSHELLE LACOSTE (NP)?
For KATHALINA VERSHELLE LACOSTE (NP), use NPI 1255459335 as the unique 10-digit identifier.
Is KATHALINA VERSHELLE LACOSTE (NP) still an active registrant?
KATHALINA VERSHELLE LACOSTE (NP) carries an active NPI according to the public dataset.
What area of care is associated with KATHALINA VERSHELLE LACOSTE (NP)?
KATHALINA VERSHELLE LACOSTE (NP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHALINA VERSHELLE LACOSTE (NP)?
Directory geography for KATHALINA VERSHELLE LACOSTE (NP) centers on Stone Mountain, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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