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NICOLE COSTELLO PA-C
NPI 1194403600
Physician Assistant in Waterville, ME

Active since July 06, 2023PECOS EnrolledAccepts Medicare Assignment
211 MAIN STREET, WATERVILLE, ME 04901(207) 877-3450(207) 872-7910 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, Apr 11, 2025, Jul 6, 2023 (3 updates tracked since 2023).

About Nicole Costello Pa-c NPPES

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

NICOLE COSTELLO PA-C (NPI 1194403600) is an individual physician assistant in Waterville, Maine, licensed in Maine (PA2633) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1194403600
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE COSTELLOCredential: PA-C
Location Address211 MAIN STREETWaterville, ME 04901
Mailing Address211 Main StreetWaterville, ME 04901 · (207) 233-6708
Phone(207) 877-3450
Fax(207) 872-7910
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2023
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1194403600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA2633
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
211 MAIN STREET, Waterville, ME 04901
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Other Names 1

Former Name (1)Nicole Morris

Secondary Practice Location 1

Location 11260 Elm StManchester, NH 03101-1305 · Phone (603) 314-1701

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

Nicole Costello Pa-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 ID9436595329
PECOS Enrollment IDI20240314000461
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 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 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.
56 services54 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.
49 services46 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
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 Costello's NPI number?

The NPI number for Nicole Costello is 1194403600. It was assigned to this individual provider in the NPPES registry on July 6, 2023. The provider is also known as Nicole Morris.

Where is Nicole Costello located?

Nicole Costello practices at 211 Main Street, Waterville, ME 04901. The listed phone number is (207) 877-3450.

What is Nicole Costello's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Costello enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Costello affiliated with any hospitals?

According to CMS data, Nicole Costello is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Costello was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.