MARY ANN COSTA FNP
NPI 1235161894
Nurse Practitioner in San Pedro, CA

Active since July 06, 2006PECOS Enrolled
1300 W 7TH ST, SAN PEDRO, CA 90732(310) 514-5350(310) 514-5421 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Ann Costa Fnp NPPES

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

MARY ANN COSTA FNP (NPI 1235161894) is an individual nurse practitioner in San Pedro, California, licensed in California (NP9202) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235161894
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ANN COSTACredential: FNP
Location Address1300 W 7TH STSan Pedro, CA 90732-3505
Mailing AddressPo Box 661360Arcadia, CA 91066-1360 · (626) 447-0296 · Fax (626) 447-6057
Fax(310) 514-5421
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateJune 25, 2008
NPI 1235161894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP9202
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.

1300 W 7TH ST, San Pedro, CA 90732

Other Identifiers 4

MedicaidRN434772CA
Medicare UPINP08378CA
Medicare PINWNP9202ACA
Medicare PINWNP9202BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Ann Costa Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Anesthesiology
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST, EMERGENCY DEPARTMENT
SAN PEDRO, CA 90732
Skilled Nursing Facility
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Nurse Practitioner
1300 W 7TH ST
SAN PEDRO, CA 90732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235161894, enumerated as an "individual" on July 06, 2006.

The provider is located at 1300 W 7TH ST SAN PEDRO, CA 90732 and the phone number is (310) 514-5350.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.