Michelle Therese Koski, ARNP
Nurse Practitioner, Family in Crestview, FL. Individual provider (NPI-1).
NPI number1013377720
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1013377720
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Therese Koski
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2016
- Last updated
- Aug 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9293405 | FL | Yes |
Practice location
302 E James Lee BlvdCrestview, FL 32539-2827
Phone 850-682-1002
Mailing address
302 E James Lee BlvdCrestview, FL 32539-2827
Phone 850-621-5575
Other practice locations
151 E Redstone Ave
Crestview, FL 32539-5352
Crestview, FL 32539-5352
Phone 850-689-8152
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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