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KRISTOPHER COSTELLO CRNA
NPI 1629586649
Nurse Anesthetist, Certified Registered in Dodge City, KS

Active since January 11, 2018PECOS EnrolledAccepts Medicare Assignment
77.48/100
CMS Quality Rating
3001 AVENUE A, DODGE CITY, KS 67801(620) 225-8400 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristopher Costello Crna NPPES

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

KRISTOPHER COSTELLO CRNA (NPI 1629586649) is an individual nurse anesthetist, certified registered in Dodge City, Kansas, licensed in Kansas (TMP-155882) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629586649
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKRISTOPHER COSTELLOCredential: CRNA
Location Address3001 AVENUE ADodge City, KS 67801-2270
Mailing Address904 Ragan RdDodge City, KS 67801-2950 · (928) 660-2202
Phone(620) 225-8400
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 11, 2018
✔ NPI 1629586649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KS · TMP-155882
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3001 AVENUE A, Dodge City, KS 67801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristopher Costello Crna 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 ID7517227614
PECOS Enrollment IDI20180212000178
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

6

Medicare enrollment records show Kristopher Costello reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Colleagues Ks PA
243 mi
Anesthesiology
629 S PLUMMER AVE
Chanute, KS 66720
  • Reassigned Medicare billing, Kansas enrollment
  • 75 clinicians in this Medicare group
NPI 1548813967 (850) 985-9180
Us Anesthesia Partners Of Kansas PA
301 mi
Anesthesiology
8000 E MAPLEWOOD AVE STE 120
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Kansas enrollment
  • 43 clinicians in this Medicare group
NPI 1811415599 (303) 438-3999
Emergenchealth PLLC
373 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Kansas enrollment
  • 37 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270
Mountain View Anesthesia Lc
660 mi
Anesthesiology
750 W 800 N, TIMPANOGOS REGIONAL HOSPITAL
Orem, UT 84057
  • Reassigned Medicare billing, Utah enrollment
  • 73 clinicians in this Medicare group
NPI 1043249840 (801) 714-6000
William Bee Ririe Hospital
817 mi
Family Medicine
6 STEPTOE CIRCLE
Ely, NV 89301
  • Reassigned Medicare billing, Nevada enrollment
  • Also billed through NPI 1487648804 (Nevada)
  • 84 clinicians in this Medicare group
NPI 1437145422 (775) 289-3612
Carson Tahoe Physician Hospital Organization, LLC
1,081 mi
Anesthesiology
1600 MEDICAL PKWY
Carson City, NV 89703
  • Reassigned Medicare billing, Nevada enrollment
  • 90 clinicians in this Medicare group
NPI 1063169829 (775) 445-8000

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

William Bee Ririe Hospital

Critical Access Hospitals · Ely, NV
OwnershipGovernment - Hospital District or Authority
CMS Certification Number291302
Location1500 Avenue HEly, NV 89301 · White Pine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67801 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

ANDRE' ROBINSON M.D.
Anesthesiology
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8400
DODGE CITY HEALTHCARE GROUP LLC
Medicare Defined Swing Bed Unit
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8401
ISSARA I. AYUTHIA, MD
Pathology (Clinical Pathology/Laboratory Medicine)
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-9050
ROBERT E WARRICK D.O.
Family Medicine
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8400
DODGE CITY HEALTHCARE GROUP LP
Rehabilitation Unit
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8401
ISSARA AYUTHIA MD
Pathology (Clinical Pathology/Laboratory Medicine)
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8437
DODGE CITY HEALTHCARE GROUP LLC
General Acute Care Hospital (Rural)
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8401
EVAN HUNTER WILSON PHARMD
Pharmacist
3001 AVENUE A
DODGE CITY, KS 67801
Ford County (620) 225-8440

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 Kristopher Costello's NPI number?

The NPI number for Kristopher Costello is 1629586649. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Kristopher Costello located?

Kristopher Costello practices at 3001 Avenue A, Dodge City, KS 67801. The listed phone number is (620) 225-8400.

What is Kristopher Costello's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kristopher Costello enrolled in Medicare?

Yes. Kristopher 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.

Which organizations bill Medicare for Kristopher Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Costello reassigns Medicare benefits to 6 organizations: Clinical Colleagues Ks PA (Chanute, KS), Us Anesthesia Partners Of Kansas PA (Greenwood Village, CO), Emergenchealth PLLC (Fort Worth, TX), Mountain View Anesthesia Lc (Orem, UT), William Bee Ririe Hospital (Ely, NV) and 1 more organization, listed in the Medicare section above. 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 Kristopher Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristopher Costello accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kristopher Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristopher Costello affiliated with any hospitals?

According to CMS data, Kristopher Costello is affiliated with Centura St. Catherine Hospital-Garden City and William Bee Ririe Hospital.

When was this NPI record last updated?

The NPPES record for Kristopher Costello was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.