PATRICIA COSTELLO MS, RDN, LDN
NPI 1609556315
Dietitian, Registered in Upper Chichester, PA

Active since July 19, 2023
4 CREEK PKWY, UPPER CHICHESTER, PA 19061(610) 494-8700 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2024, Jul 19, 2023 (2 updates tracked since 2023).

About Patricia Costello Ms, Rdn, Ldn NPPES

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

PATRICIA COSTELLO MS, RDN, LDN (NPI 1609556315) is an individual dietitian, registered in Upper Chichester, Pennsylvania, licensed in Pennsylvania (86314445) and active in the NPI registry since July 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1609556315
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NamePATRICIA COSTELLOCredential: MS, RDN, LDN
Location Address4 CREEK PKWYUpper Chichester, PA 19061-3132
Mailing Address1509 Cranberry DrWest Norriton, PA 19403-5142 · (215) 813-5608
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1609556315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in PA · 86314445✔ Licensed in PA · DN007945
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4 CREEK PKWY, Upper Chichester, PA 19061

Other Names 1

Former Name (1)Patricia Vinokurov Ms, Rdn, Ldn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Costello Ms, Rdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820525827
PECOS Enrollment IDI20250102000874

Medicare Billing Reassignment

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

Dietitian, Registered
3 CREEK PKWY # 100
Upper Chichester, PA 19061
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Pharmacist
4 CREEK PKWY, SUITE A
UPPER CHICHESTER, PA 19061
Pharmacist
4 CREEK PKWY, SUITE A
UPPER CHICHESTER, PA 19061
Pharmacist
4 CREEK PKWY
UPPER CHICHESTER, PA 19061
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
4 CREEK PKWY
UPPER CHICHESTER, PA 19061
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4 CREEK PKWY
UPPER CHICHESTER, PA 19061
Pharmacist
4 CREEK PKWY
UPPER CHICHESTER, PA 19061
Pharmacist (Pharmacotherapy)
4 CREEK PKWY
UPPER CHICHESTER, PA 19061
Pharmacy (Home Infusion Therapy Pharmacy)
4 CREEK PKWY
UPPER CHICHESTER, PA 19061

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 Patricia Costello's NPI number?

The NPI number for Patricia Costello is 1609556315. It was assigned to this individual provider in the NPPES registry on July 19, 2023. The provider is also known as Patricia Vinokurov Ms, Rdn, Ldn.

Where is Patricia Costello located?

Patricia Costello practices at 4 Creek Pkwy, Upper Chichester, PA 19061. The listed phone number is (610) 494-8700.

What is Patricia Costello's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Patricia Costello enrolled in Medicare?

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

Which organization bills Medicare for Patricia Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Costello reassigns Medicare benefits to Diamond Nutrition Counseling, Inc (Upper Chichester, PA). 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 Patricia 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 Patricia Costello was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.