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AMANDA COSTELLO ARNP
NPI 1346678026
Nurse Practitioner - Psychiatric/Mental Health in Lutz, FL

Active since October 16, 2013PECOS Enrolled
18958 N DALE MABRY HWY, LUTZ, FL 33548(813) 839-7390(813) 333-5994 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 26, 2017, May 11, 2016 (3 updates tracked since 2016).

About Amanda Costello Arnp NPPES

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

AMANDA COSTELLO ARNP (NPI 1346678026) is an individual psychiatric/mental health provider in Lutz, Florida, licensed in Florida (ARNP 9415070) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346678026
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA COSTELLOCredential: ARNP
Location Address18958 N DALE MABRY HWYLutz, FL 33548-2829
Mailing Address9310 Heritage Oak CtTampa, FL 33647-5013 · (727) 808-0959 · Fax (813) 333-5994
Phone(813) 839-7390
Fax(813) 333-5994
Sole ProprietorNo
Enumeration DateOctober 16, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1346678026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · ARNP 9415070✔ Licensed in PA · SP013276
18958 N DALE MABRY HWY, Lutz, FL 33548
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Other Names 1

Former Name (1)Amanda Wetzel

Other Identifiers 1

Medicaid01567509FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Costello Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
383 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Florida enrollment
  • 408 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33548 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMPA BRIGHT HORIZONS LLC
Nurse Practitioner (Psychiatric/Mental Health)
18958 N DALE MABRY HWY, 102
LUTZ, FL 33548
Hillsborough County (813) 839-7390
ATALIA FOGEL LMHC, PC, LLC
Counselor (Mental Health)
18958 N DALE MABRY HWY, SUITE 102
LUTZ, FL 33548
Hillsborough County (813) 400-0419
DR. MICHAEL LEE BISHOP PH.D.
Psychologist
18958 N DALE MABRY HWY, STE 102
LUTZ, FL 33548
Hillsborough County (813) 454-1050

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 Amanda Costello's NPI number?

The NPI number for Amanda Costello is 1346678026. It was assigned to this individual provider in the NPPES registry on October 16, 2013. The provider is also known as Amanda Wetzel.

Where is Amanda Costello located?

Amanda Costello practices at 18958 N Dale Mabry Hwy, Lutz, FL 33548. The listed phone number is (813) 839-7390.

What is Amanda Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Costello enrolled in Medicare?

Yes. Amanda Costello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Costello reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The 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 Amanda Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Costello was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.