MR. KEITH THOMAS COSTELLO FNP
NPI 1407553761
Nurse Practitioner in Ocala, FL

Q: What is Keith Costello's NPI number?

The NPI number for Keith Costello is 1407553761. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Q: What is Keith Costello's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Costello was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 07, 2023PECOS Enrolled

3310 SW 34TH ST, OCALA, FL 34474(352) 873-0707 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2023, Feb 7, 2023 (2 updates tracked since 2023).

On this page

About Mr. Keith Thomas Costello Fnp NPPES

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

MR. KEITH THOMAS COSTELLO FNP (NPI 1407553761) is an individual nurse practitioner in Ocala, Florida, licensed in Florida (11024420) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407553761

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. KEITH THOMAS COSTELLOCredential: FNP

Location Address3310 SW 34TH STOcala, FL 34474-7422

Mailing Address3310 Sw 34th StOcala, FL 34474-7422 · (352) 873-9557 · Fax (352) 873-1842

Phone(352) 873-0707

Sole ProprietorNo

Enumeration DateFebruary 7, 2023

Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2023

✔ NPI 1407553761 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 FL · 11024420

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.

3310 SW 34TH ST, Ocala, FL 34474

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Keith Thomas Costello 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.

Medicare Billing Reassignment

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

Inpatient Consultants Of Florida, Inc

75 mi

Internal Medicine

2001 KINGSLEY AVE
Orange Park, FL 32073

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1396795597 (954) 377-2909

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

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

80 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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 20

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

CAMELLA SOPHIA DINKINS

Physician Assistant