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

Q: 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.

Q: What is Mary 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 Mary Costello was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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)