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JENNIFER M COSTA NP
NPI 1225246341
Nurse Practitioner in Worcester, MA

Active since May 21, 2007
55 LAKE AVE N, PEDIATRIC HEMATOLOGY-ONCOLOGY, WORCESTER, MA 01655(508) 856-4225(774) 441-8057 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2020, Oct 18, 2019 (2 updates tracked since 2019).

About Jennifer M Costa Np NPPES

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

JENNIFER M COSTA NP (NPI 1225246341) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN253211) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225246341
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER M COSTACredential: NP
Location Address55 LAKE AVE N, PEDIATRIC HEMATOLOGY-ONCOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 856-4225
Fax(774) 441-8057
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1225246341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN253211
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License RN253211 (MA)
55 LAKE AVE N, Worcester, MA 01655
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Other Names 1

Former Name (1)Jennifer M Spencer Np

Other Identifiers 1

Medicaid110074761AMA

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.

DR. SARAH BETH SAXER PHARMD
Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Worcester County (508) 856-2763
MARTHA LAROSE SAMPSON CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
LINDA A PAPE M.D.
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Worcester County (508) 856-3050
DR. DALE E RAUCH M.D.
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-6580
DR. MAICHI T TRAN PHARM.D.
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 856-1618
JESSICA L DOUGLAS MS
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Worcester County (508) 334-3517
DR. JULIANNE PATRICIA HUBER MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
ELLEN M GRAVALLESE M.D.
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-5224

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 Jennifer Costa's NPI number?

The NPI number for Jennifer Costa is 1225246341. It was assigned to this individual provider in the NPPES registry on May 21, 2007. The provider is also known as Jennifer M Spencer Np.

Where is Jennifer Costa located?

Jennifer Costa practices at 55 Lake Ave N Pediatric Hematology-Oncology, Worcester, MA 01655. The listed phone number is (508) 856-4225.

What is Jennifer Costa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Costa was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.