DAVID COSTELLO C.R.N.P.
NPI 1104053420
Nurse Practitioner - Family in Gulfport, MS

Q: What is David Costello's NPI number?

The NPI number for David Costello is 1104053420. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Q: What is David Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for David Costello was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment

4300 15TH ST, GULFPORT, MS 39501(228) 864-0828 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Costello C.r.n.p. NPPES

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

DAVID COSTELLO C.R.N.P. (NPI 1104053420) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (904287) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104053420

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDAVID COSTELLOCredential: C.R.N.P.

Location Address4300 15TH STGulfport, MS 39501-2524

Mailing Address12825 Hanover DrOcean Springs, MS 39564-2612 · (205) 470-3721

Phone(228) 864-0828

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJune 12, 2009

Last NPPES UpdateAugust 9, 2022

NPPES CertifiedJuly 29, 2022

✔ NPI 1104053420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in MS · 904287✔ Licensed in AL · 1-064521

4300 15TH ST, Gulfport, MS 39501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Costello C.r.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092852921

PECOS Enrollment IDI20201228000816

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

602 services39 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

470 services21 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

352 services244 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

308 services201 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

209 services138 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

81 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

62 services62 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

62 services54 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

48 services44 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

48 services24 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

12 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 11

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

SARTIN'S VITAL CARE INC

Pharmacy (Specialty Pharmacy)

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

SARTIN'S VITAL CARE INC

Pharmacy (Community/Retail Pharmacy)

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

MICHAEL A SEICSHNAYDRE M.D.

Specialist

4300 15TH ST
GULFPORT, MS 39501

Harrison County (228) 864-0828

SARTIN'S VITAL CARE INC

Pharmacy (Home Infusion Therapy Pharmacy)

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

SARTIN'S VITAL CARE INC

Pharmacy (Long Term Care Pharmacy)

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

SARTIN'S VITAL CARE INC

Pharmacy

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

AIMEE SEICSHNAYDRE

Physical Therapist

4300 15TH ST, SUITE B
GULFPORT, MS 39501

Harrison County (228) 864-0828

SARTIN'S VITAL CARE INC

Pharmacy (Mail Order Pharmacy)

4300 15TH ST, SUITE A
GULFPORT, MS 39501

Harrison County (228) 864-7056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Costello's NPI number?

The NPI number for David Costello is 1104053420. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is David Costello located?

David Costello practices at 4300 15th St, Gulfport, MS 39501. The listed phone number is (228) 864-0828.

What is David Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Costello enrolled in Medicare?

Yes. David Costello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Costello accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list David Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Costello affiliated with any hospitals?

According to CMS data, David Costello is affiliated with Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for David Costello was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.