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MRS. MARY A COSTELLO ANP
NPI 1548426414
Nurse Practitioner in New York, NY

Active since July 31, 2008PECOS Enrolled
525 E 68TH ST STE M404, NEW YORK, NY 10065(212) 746-5156 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Jul 11, 2023, May 23, 2023 and 2 more (5 updates tracked since 2019).

About Mrs. Mary A Costello Anp NPPES

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

MRS. MARY A COSTELLO ANP (NPI 1548426414) is an individual nurse practitioner in New York, New York, licensed in Wisconsin (100193) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548426414
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY A COSTELLOCredential: ANP
Location Address525 E 68TH ST STE M404New York, NY 10065-4870
Mailing Address160 W Camino Real # 255Boca Raton, FL 33432-5942 · (704) 252-1579
Phone(212) 746-5156
Sole ProprietorYes
Enumeration DateJuly 31, 2008
Last NPPES UpdateJanuary 18, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1548426414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 100193
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 201508795NP-PP (OR), C-APN.0001649-C-NP (CO), 5004075 (NC)
525 E 68TH ST STE M404, New York, NY 10065
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Secondary Practice Locations 2

Location 12801 W Kk River Pkwy Ste 680Milwaukee, WI 53215-3633 · Phone (414) 385-1922
Location 23311 Riverbend DrSpringfield, OR 97477-8800 · Phone (541) 222-2868

Other Identifiers 3

Medicaid7004305NC
MedicaidNP1325SC
Medicaid100223521WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary A Costello Anp 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 Reassignments

2

Medicare enrollment records show Mary Costello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tenet Florida Physician Services LLC
1,029 mi
Surgery
1411 N FLAGLER DR STE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1659417467 (561) 650-6231
Inpatient Services, PC
1,619 mi
Internal Medicine
1600 PRAIRIE CENTER PKWY
Brighton, CO 80601
  • Reassigned Medicare billing, Colorado enrollment
  • 101 clinicians in this Medicare group
NPI 1710999768 (303) 498-1600

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers41 claims3,225 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers17 claims2,100 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers36 claims6,720 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
11 suppliers57 claims57 services$16.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
11 suppliers63 claims71 services$11.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

LEONARD GIRARDI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-5194
JENNIFER ANN THOMAS AGPCNP
Nurse Practitioner (Adult Health)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-5873
DR. EILON RAM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-9443
DR. MUHAMMAD SAJAWAL ALI M.D.
Internal Medicine (Pulmonary Disease)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-0848
DR. ERIN MILLS IANNACONE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-7689
STEPHANIE L MICK MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-6707
DR. JOSHUA BENJAMIN GOLDBERG M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
525 E 68TH ST STE M404
NEW YORK, NY 10065
New York County (212) 746-7689

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 Mary Costello's NPI number?

The NPI number for Mary Costello is 1548426414. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Mary Costello located?

Mary Costello practices at 525 E 68th St Ste M404, New York, NY 10065. The listed phone number is (212) 746-5156.

What is Mary Costello's specialty?

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

Is Mary Costello enrolled in Medicare?

Yes. Mary Costello is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Costello reassigns Medicare benefits to 2 organizations: Tenet Florida Physician Services LLC (West Palm Beach, FL) and Inpatient Services, PC (Brighton, CO). 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 Mary 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 Mary Costello was last updated on January 18, 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.