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JAMIE NICOLE COSTELLO APRN
NPI 1477299139
Nurse Practitioner in Clinton Township, MI

Active since May 06, 2022PECOS EnrolledAccepts Medicare Assignment
39425 GARFIELD RD STE 24, CLINTON TOWNSHIP, MI 48038(586) 649-3181(586) 649-3182 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 6, 2022 (2 updates tracked since 2022).

About Jamie Nicole Costello Aprn NPPES

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

JAMIE NICOLE COSTELLO APRN (NPI 1477299139) is an individual nurse practitioner in Clinton Township, Michigan, licensed in Michigan (4704393179) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477299139
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJAMIE NICOLE COSTELLOCredential: APRN
Location Address39425 GARFIELD RD STE 24Clinton Township, MI 48038-4651
Mailing Address655 Brawley School Rd Ste 200Mooresville, NC 28117-9601 · (704) 696-1565
Phone(586) 649-3181
Fax(586) 649-3182
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2022
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1477299139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MI · 4704393179✔ Licensed in IL · 209025184
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.
39425 GARFIELD RD STE 24, Clinton Township, MI 48038
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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

Jamie Nicole 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.

PECOS PAC ID648794800
PECOS Enrollment IDI20260504007829
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

ALEXANDRA VARGA
Nurse Practitioner (Family)
39425 GARFIELD RD STE 24
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 649-3181
JESSICA CIARAMELLA DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
39425 GARFIELD RD STE 24
CLINTON TOWNSHIP, MI 48038
Macomb County (810) 650-8909
KATHERINE LEPAR DNP, FNP-BC
Nurse Practitioner (Family)
39425 GARFIELD RD STE 24
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 649-3181

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 Jamie Costello's NPI number?

The NPI number for Jamie Costello is 1477299139. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Where is Jamie Costello located?

Jamie Costello practices at 39425 Garfield Rd Ste 24, Clinton Township, MI 48038. The listed phone number is (586) 649-3181.

What is Jamie Costello's specialty?

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

Is Jamie Costello enrolled in Medicare?

Yes. Jamie 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.

When was this NPI record last updated?

The NPPES record for Jamie Costello was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.