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MICHELLE LYN COSTLOW PMHNP-BC
NPI 1447966262
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Active since January 25, 2023PECOS EnrolledAccepts Medicare Assignment
121 S BROADWAY AVE STE 608, TYLER, TX 75702(888) 360-7587(979) 446-0280 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2025, Jan 25, 2023 (2 updates tracked since 2023).

About Michelle Lyn Costlow Pmhnp-bc NPPES

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

MICHELLE LYN COSTLOW PMHNP-BC (NPI 1447966262) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (1099356) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447966262
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE LYN COSTLOWCredential: PMHNP-BC
Location Address121 S BROADWAY AVE STE 608Tyler, TX 75702-7281
Mailing Address1511 Texas Ave S Pmb 233, Pmb 233Bryan, TX 77802-3475 · (888) 360-7587 · Fax (979) 446-0280
Phone(888) 360-7587
Fax(979) 446-0280
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2023
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1447966262 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 TX · 1099356✔ Licensed in NM · 74683✔ Licensed in CO · C-APN.0101005-C-NP
121 S BROADWAY AVE STE 608, Tyler, TX 75702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan, UnitedHealthcare.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

Michelle Lyn Costlow Pmhnp-bc 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 ID42664203
PECOS Enrollment IDI20231127003048
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.

Areas of Expertise CMS Part B claims 6

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
97 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Michelle Costlow's NPI number?

The NPI number for Michelle Costlow is 1447966262. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Michelle Costlow located?

Michelle Costlow practices at 121 S Broadway Ave Ste 608, Tyler, TX 75702. The listed phone number is (888) 360-7587.

What is Michelle Costlow's specialty?

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

Is Michelle Costlow enrolled in Medicare?

Yes. Michelle Costlow 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 Michelle Costlow accept?

Health plans from Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Michelle Costlow 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.

When was this NPI record last updated?

The NPPES record for Michelle Costlow was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.