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JOHNNA SUZANNE COSTELLO FNP-C
NPI 1184968133
Nurse Practitioner - Family in Wichita, KS

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
3311 E MURDOCK ST, WICHITA, KS 67208(316) 689-9107(316) 689-9354 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnna Suzanne Costello Fnp-c NPPES

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

JOHNNA SUZANNE COSTELLO FNP-C (NPI 1184968133) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-75854-011) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184968133
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNNA SUZANNE COSTELLOCredential: FNP-C
Location Address3311 E MURDOCK STWichita, KS 67208-3054
Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135 · Fax (316) 689-9667
Phone(316) 689-9107
Fax(316) 689-9354
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1184968133 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 KS · 53-75854-011
3311 E MURDOCK ST, Wichita, KS 67208
Open in Google Maps ↗

Other Names 1

Former Name (1)Johnna Suzanne Wendt Aprn

Other Identifiers 2

Other003719478Medicare
Medicaid201012490CKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Johnna Suzanne Costello Fnp-c 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 ID6608029814
PECOS Enrollment IDI20130118000261
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 Reassignments

3

Medicare enrollment records show Johnna Costello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group Via Christi, PA
Same address
Diagnostic Radiology
3311 E MURDOCK ST
Wichita, KS 67208
  • Reassigned Medicare billing, Kansas enrollment
  • 210 clinicians in this Medicare group
NPI 1013374990 (316) 689-9422
Restored Vitality Mobile Wound Care LLC
165 mi
Physician Assistant
8833 BOND ST
Overland Park, KS 66214
  • Reassigned Medicare billing, Kansas enrollment
  • 7 clinicians in this Medicare group
NPI 1073300828 (785) 318-0907
T & J Medical Solutions Corporation
165 mi
Wound Care
8833 BOND ST
Overland Park, KS 66214
  • Reassigned Medicare billing, Kansas enrollment
  • 6 clinicians in this Medicare group
NPI 1598587537 (785) 424-3799

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.

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.
32 services32 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67208 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

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.

HEMANTH KUMAR VALLAPU REDDY MD
Hospitalist
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9335
RAFAEL E CABRERA SALINAS MD
Internal Medicine (Cardiovascular Disease)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9370
MRS. KRISTA FISCHER APRN
Nurse Practitioner (Family)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9107
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Radiology (Diagnostic Radiology)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9422
DARRELL J YOUNGMAN D.O.
Internal Medicine (Cardiovascular Disease)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9370
JOZEF S MRUK MD
Internal Medicine (Cardiovascular Disease)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9370
KATIE WASHBURN DO
Internal Medicine
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 268-6976
SONIA M GARNER CDE
Registered Nurse (Diabetes Educator)
3311 E MURDOCK ST
WICHITA, KS 67208
Sedgwick County (316) 689-9989

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 Johnna Costello's NPI number?

The NPI number for Johnna Costello is 1184968133. It was assigned to this individual provider in the NPPES registry on November 15, 2012. The provider is also known as Johnna Suzanne Wendt Aprn.

Where is Johnna Costello located?

Johnna Costello practices at 3311 E Murdock St, Wichita, KS 67208. The listed phone number is (316) 689-9107.

What is Johnna Costello's specialty?

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

Is Johnna Costello enrolled in Medicare?

Yes. Johnna 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 Johnna Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnna Costello reassigns Medicare benefits to 3 organizations: Ascension Medical Group Via Christi, PA (Wichita, KS), Restored Vitality Mobile Wound Care LLC (Overland Park, KS) and T & J Medical Solutions Corporation (Overland Park, KS). 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 Johnna Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnna Costello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Johnna 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.

When was this NPI record last updated?

The NPPES record for Johnna Costello was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.