Carissa Kostecki, MD
Carissa Kostecki, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in Jacksonville, FL, registered under NPI 1720006828.
Getting there
The practice address on file is 800 PRUDENTIAL DR, Jacksonville, FL 32207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME85233 | FL | Pediatric Emergency Medicine (Pediatrics)… primary |
This provider holds licence ME85233 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 6406846773
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Emergency Medicine covers
A pediatrician who has special qualifications to manage emergencies in infants and children. NUCC Health Care Provider Taxonomy, code 2080P0204X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1720006828 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 17, 2006 |
| Last updated | Apr 17, 2008 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
800 PRUDENTIAL DR Jacksonville, FL 32207 (904) 396-5682 Fax (904) 346-0864 |
| Mailing address |
820 PRUDENTIAL DR STE 713 Jacksonville, FL 32207 |
| Other identifiers |
265150500
(FL) 29056 · BCBS (FL) 000960352A (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 2 | 0 | 0 | 0 | 6 | 8 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 4 | 0 | 0 | 0 | 3 | 8 | 4 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.