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KAITLYN L. COSTAS NP
NPI 1588540678
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since August 13, 2025PECOS Enrolled
10323 SANTA MONICA BLVD STE 108A, LOS ANGELES, CA 90025(310) 340-0089 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 19, 2026, Aug 13, 2025 (2 updates tracked since 2025).

About Kaitlyn L. Costas Np NPPES

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

KAITLYN L. COSTAS NP (NPI 1588540678) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95036353) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588540678
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAITLYN L. COSTASCredential: NP
Location Address10323 SANTA MONICA BLVD STE 108ALos Angeles, CA 90025-5056
Mailing Address10323 Santa Monica Blvd Ste 108aLos Angeles, CA 90025-5056 · (310) 340-0089
Phone(310) 340-0089
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 13, 2025
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1588540678 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
License✔ Licensed in CA · 95036353
10323 SANTA MONICA BLVD STE 108A, Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn L. Costas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42783946
PECOS Enrollment IDI20260623001259
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 Reassignment

Medicare enrollment records show Kaitlyn Costas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Century City Psychiatry
Same address
Psychiatry
10323 SANTA MONICA BLVD STE 108
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1508658022 (310) 340-0089

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 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Kaitlyn Costas's NPI number?

The NPI number for Kaitlyn Costas is 1588540678. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Kaitlyn Costas located?

Kaitlyn Costas practices at 10323 Santa Monica Blvd Ste 108A, Los Angeles, CA 90025. The listed phone number is (310) 340-0089.

What is Kaitlyn Costas's specialty?

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

Is Kaitlyn Costas enrolled in Medicare?

Yes. Kaitlyn Costas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Costas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Costas reassigns Medicare benefits to Century City Psychiatry (Los Angeles, CA). The 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 Kaitlyn Costas'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 Kaitlyn Costas was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.