SUSAN MARIE COSTELLO APRN
NPI 1417704362
Nurse Practitioner - Psychiatric/Mental Health in Western Springs, IL
About Susan Marie Costello Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MARIE COSTELLO APRN (NPI 1417704362) is an individual psychiatric/mental health provider in Western Springs, Illinois, licensed in Illinois (209.0257534) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Marie Costello Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Susan Costello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, IL 60546
- Reassigned Medicare billing, Illinois enrollment
- 1,047 clinicians in this Medicare group
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 clinicians in this Medicare group
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 60558 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTERN SPRINGS, IL 60558
WESTERN SPRINGS, IL 60558
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 Susan Costello's NPI number?
The NPI number for Susan Costello is 1417704362. It was assigned to this individual provider in the NPPES registry on April 30, 2024.
Where is Susan Costello located?
Susan Costello practices at 4471 Lawn Ave Ste 202, Western Springs, IL 60558. The listed phone number is (708) 428-7890.
What is Susan Costello's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Susan Costello enrolled in Medicare?
Yes. Susan 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.
Which organizations bill Medicare for Susan Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Costello reassigns Medicare benefits to 3 organizations: Cook County (Riverside, IL), Edgewood Clinical Services, P.C. (Naperville, IL) and Rockford Psychiatric Medical Services, S.C. (Rockford, IL). Each 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 Susan 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 Susan Costello was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Susan Marie Costello, APRN · NPI 1417704362
Psychiatric/Mental Health physician in Western Springs, Illinois. Individual provider, active in the CMS NPPES registry since April 30, 2024.
## Identity
- **NPI:** 1417704362 (Entity type: Individual)
- **Enumerated:** April 30, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209.0257534 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4471 LAWN AVE STE 202, Western Springs, IL 60558-1765
- **Phone:** (708) 428-7890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cook County (NPI 1497875298, Riverside, IL); Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL); Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 30, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1417704362) · Data from the CMS NPPES public registry.