MARY CATHLEEN COSTELLO
NPI 1164155123
Nurse Practitioner in Tampa, FL
About Mary Cathleen Costello NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CATHLEEN COSTELLO (NPI 1164155123) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11020897) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
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
Mary Cathleen Costello 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Costello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,079 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Florida Hospital Carrollwood
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
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 Mary Costello's NPI number?
The NPI number for Mary Costello is 1164155123. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Mary Costello located?
Mary Costello practices at 3000 Medical Park Dr Ste 300, Tampa, FL 33613. The listed phone number is (813) 497-9661.
What is Mary Costello's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary Costello enrolled in Medicare?
Yes. Mary 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.
Which organizations bill Medicare for Mary Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Costello reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and University Medical Service Association Inc (Tampa, FL). Each 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 Mary Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Costello accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Mary 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 Mary Costello affiliated with any hospitals?
According to CMS data, Mary Costello is affiliated with Florida Hospital Carrollwood.
When was this NPI record last updated?
The NPPES record for Mary Costello was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mary Cathleen Costello · NPI 1164155123
Nurse Practitioner physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1164155123 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11020897 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 MEDICAL PARK DR STE 300, Tampa, FL 33613-4696
- **Phone:** (813) 497-9661
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL); University Medical Service Association Inc (NPI 1205876125, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 10, 2025
- **Other identifiers:** Medicaid 119949500 (FL); Other TB6FP (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1164155123) · Data from the CMS NPPES public registry.