MS. MICHELLE RENEE KOSTELAC (PA-C) – Medical Physician Assistant, NPI 1467430918

MS. MICHELLE RENEE KOSTELAC (PA-C) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA053165 (PA). The NPI Number for MS. MICHELLE RENEE KOSTELAC (PA-C) is 1467430918

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE RENEE KOSTELAC (PA-C)
NPI
1467430918
Phone
(717) 545-9811
Address
4760 UNION DEPOSIT ROAD
Enumeration Date
5 January 2006
Last Update Date
17 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175459811
Graduation Year
2003 (23 years ago)
PAC ID
4385543354
Group Practice PAC ID
4880593847
Professional Enrollment ID
I20040108000285
Address ID
PA171113744HA4760XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MS. MICHELLE RENEE KOSTELAC (PA-C)

  • Harrisburg Bible Chapel, 5503, Union Deposit Road, Kent Gardens, Colonial Park, Lower Paxton Township, Dauphin County, Pennsylvania, 17111, United States

    SUITE 100

    HARRISBURG, PA 171113729

    Phone: (717) 545-9811

    Fax: (717) 545-9979

    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 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

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: 2004-01-08

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
I20040108000285IPhysician AssistantPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6955$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6056$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 17111)

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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: 4880593847View full group profile
NameSpecialtyState
Physician AssistantPA
Gastroenterology, Internal MedicineNY
Physician AssistantPA
G A S T R O E N T E R O L O G YPA
Gastroenterology, Internal MedicinePA
G A S T R O E N T E R O L O G YPA
G A S T R O E N T E R O L O G YPA
Nurse PractitionerPA
Internal Medicine, GastroenterologyPA

Reviews

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Frequently asked questions

What federal number belongs to MS. MICHELLE RENEE KOSTELAC (PA-C)?
The federal identifier for MS. MICHELLE RENEE KOSTELAC (PA-C) is NPI 1467430918.
Is MS. MICHELLE RENEE KOSTELAC (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. MICHELLE RENEE KOSTELAC (PA-C)?
The page reflects Medical Physician Assistant for MS. MICHELLE RENEE KOSTELAC (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MS. MICHELLE RENEE KOSTELAC (PA-C)?
The snapshot lists Harrisburg, Pennsylvania for MS. MICHELLE RENEE KOSTELAC (PA-C); download NPPES for the complete set.
Is MS. MICHELLE RENEE KOSTELAC (PA-C) a real provider?
This page reflects official NPPES data for NPI 1467430918. Always confirm identity and privileges with the practice and licensing boards.

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