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NICOLE WOODMAN COSTANZO NP
NPI 1154054930
Nurse Practitioner - Family in Midlothian, VA

Active since July 08, 2022PECOS EnrolledAccepts Medicare Assignment
13710 ST FRANCIS BLVD STE 600, MIDLOTHIAN, VA 23114(804) 794-6400(804) 897-0910 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Woodman Costanzo Np NPPES

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

NICOLE WOODMAN COSTANZO NP (NPI 1154054930) is an individual family provider in Midlothian, Virginia, licensed in Virginia (0024184660) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154054930
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE WOODMAN COSTANZOCredential: NP
Location Address13710 ST FRANCIS BLVD STE 600Midlothian, VA 23114-3267
Mailing Address4600 Mcauley Pl Ste 600Blue Ash, OH 45242-4778
Phone(804) 794-6400
Fax(804) 897-0910
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 8, 2022
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1154054930 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
License✔ Licensed in VA · 0024184660
13710 ST FRANCIS BLVD STE 600, Midlothian, VA 23114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Woodman Costanzo Np 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 ID7315315496
PECOS Enrollment IDI20221121002269
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Costanzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bon Secours St Mary's Hospital Of Richmond LLC
7.2 mi
Internal Medicine
9220 FOREST HILL AVE, SUITE 1-A
Richmond, VA 23235
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Bon Secours St Marys Hospital Of Richmond LLC
  • 164 clinicians in this Medicare group
NPI 1265719504 (804) 560-8838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.
694 services571 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
220 services213 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23114 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Nicole Costanzo's NPI number?

The NPI number for Nicole Costanzo is 1154054930. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Nicole Costanzo located?

Nicole Costanzo practices at 13710 St Francis Blvd Ste 600, Midlothian, VA 23114. The listed phone number is (804) 794-6400.

What is Nicole Costanzo's specialty?

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

Is Nicole Costanzo enrolled in Medicare?

Yes. Nicole Costanzo 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.

Which organization bills Medicare for Nicole Costanzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Costanzo reassigns Medicare benefits to Bon Secours St Mary's Hospital Of Richmond LLC (Richmond, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Costanzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Costanzo affiliated with any hospitals?

According to CMS data, Nicole Costanzo is affiliated with Bon Secours St Marys Hospital, Bon Secours Southside Medical Center, Bon Secours Richmond Community Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Costanzo was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.