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

Active since January 11, 2018Accepts 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: August 09, 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 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, and ordering and referring status from the CMS PECOS system.

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

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.

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.