Active NPI 1972567329 Individual Practitioner Female Practitioner

Judith Ann Koster , PA-C

Physician Assistant - Surgical • Trinity, FL

Professional Overview & Biography Verified Profile Summary

Judith Koster, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Trinity, FL. Practice services are available at 2043 LITTLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2043 Little Rd

Trinity, FL 34655

Telephone 7278467000

Fax 8772601182

Associated Practice Facility / Clinic

🏢 Orange Blossom Women's Group Pllc Facility NPI 1740704014

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Trinity, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Trinity, FL (1463 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License PA MA000708L

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License FL PA9102477

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

291779300 (FL)

Commercial Insurance / Payer ID Pennsylvania State Board Of Medicine

MA000708L (PA)

Commercial Insurance / Payer ID Railroad Medicare

P00087680

Secondary Practice Locations

205 S Front St

Harrisburg, PA 171041619

Phone: 7172318555

757 Norland Ave Ste 205

Chambersburg, PA 172014230

Phone: 7172176881

2005 Technology Pkwy Ste 300

Mechanicsburg, PA 170509413

Phone: 7172318555

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Krista Smith , CNM, WHNP

Midwife

NPI 1093581852

Certified Nurse Midwife, Women's Health Nurse Practitioner

Bianca Christmann , APRN

Nurse Practitioner - Family

NPI 1184363657

Advanced Practice Registered Nurse

Emily Delgado , APRN

Nurse Practitioner - Women's Health

NPI 1205354214

Advanced Practice Registered Nurse

Krista Bennett , APRN

Nurse Practitioner - Obstetrics & Gynecology

NPI 1245439793

Advanced Practice Registered Nurse

Mackenzie Nichols

Nurse Practitioner - Women's Health

NPI 1295556132

Katie Redmon , APRN, MSN, FNP-C

Nurse Practitioner - Family

NPI 1467118406

Advanced Practice Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location August 30, 2018

Registered at 2043 LITTLE RD, TRINITY, FL 34655 (Tel: 7278467000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #PA9102477 in FL)

✅

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2017

Registered at 2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 170509413 (Tel: 7172318555)

📍

Updated Business Mailing Address May 31, 2017

Registered at PO BOX 21686, TAMPA, FL 336221686 (Tel: (813) 343-5500)

👤

Provider Name / Credentials Updated May 31, 2017

Recorded as JUDITH KOSTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Physician Assistant (License #MA000708L in PA)

✅

NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2014

Registered at 12880 COMMODITY PL, TAMPA, FL 336263101 (Tel: 8133435500)

📍

Updated Business Mailing Address April 22, 2014

Registered at PO BOX 21686, TAMPA, FL 336221686 (Tel: 8133435500)

👤

Provider Name / Credentials Updated April 22, 2014

Recorded as JUDITH KOSTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Physician Assistant (License #PA9102477 in FL)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972567329

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2006

Last Update: August 30, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 21686

Tampa, FL 336221686

Phone: 8133435500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.