JACQUELINE R COSTELLO DNP, APRN, CPNP
NPI 1003850405
Nurse Practitioner - Pediatrics in Wilson, NC

Q: What is Jacqueline Costello's NPI number?

The NPI number for Jacqueline Costello is 1003850405. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Jacqueline Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since June 15, 2006PECOS Enrolled

1801 GLENDALE DR SW, WILSON, NC 27893(252) 237-3141 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Feb 6, 2024, Dec 10, 2020 (3 updates tracked since 2020).

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About Jacqueline R Costello Dnp, Aprn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE R COSTELLO DNP, APRN, CPNP (NPI 1003850405) is an individual pediatrics provider in Wilson, North Carolina, licensed in North Carolina (5006348) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003850405

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJACQUELINE R COSTELLOCredential: DNP, APRN, CPNP

Location Address1801 GLENDALE DR SWWilson, NC 27893-4499

Mailing Address1801 Glendale Dr SwWilson, NC 27893-4499 · (252) 237-3141

Phone(252) 237-3141

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1003850405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NC · 5006348

1801 GLENDALE DR SW, Wilson, NC 27893

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Other Identifiers 1

Medicaid1003850405NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline R Costello Dnp, Aprn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA MARIE WEPPLER CNM

Advanced Practice Midwife