JENNIFER COSTELLO AGACNP
NPI 1346711223
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Jennifer Costello's NPI number?

The NPI number for Jennifer Costello is 1346711223. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Jennifer Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Costello was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment

111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-4535(215) 503-5939 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Costello Agacnp NPPES

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

JENNIFER COSTELLO AGACNP (NPI 1346711223) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019737) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346711223

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER COSTELLOCredential: AGACNP

Location Address111 S 11TH STPhiladelphia, PA 19107-4824

Mailing Address5250 Ridge AvePhiladelphia, PA 19128-3712 · (570) 259-0848

Phone(215) 955-4535

Fax(215) 503-5939

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 17, 2018

✔ NPI 1346711223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in PA · SP019737

111 S 11TH ST, Philadelphia, PA 19107

Open in Google Maps ↗

Other Identifiers 1

OtherSP019737PA · State Board Of Nursing

Accepted Insurance

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

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

Jennifer Costello Agacnp 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 ID9436552114

PECOS Enrollment IDI20210720000685

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.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

NICOLE LYNN RENALDI D.O.

Anesthesiology

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

LING FAN

Nurse Practitioner (Acute Care)

111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8304

WILLIAM JUSTICE MD

Student in an Organized Health Care Education/Training Program

111 S 11TH ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 995-6000

DR. DAVID P. FRIEDMAN M.D.

Radiology (Diagnostic Radiology)

111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-2900

DR. WALTER K. KRAFT M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. TAKI GALANIS M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. STEVEN M LUDWIN M.D.

Internal Medicine

111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6610

JENNIFER L SWOPE CRNA

Nurse Anesthetist, Certified Registered

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

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 Costello's NPI number?

The NPI number for Jennifer Costello is 1346711223. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Jennifer Costello located?

Jennifer Costello practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-4535.

What is Jennifer Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Costello enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Costello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer 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.

Is Jennifer Costello affiliated with any hospitals?

According to CMS data, Jennifer Costello is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Costello was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.