MRS. NICOLE LYNN COSTELLO APRN
NPI 1770334757
Nurse Practitioner - Family in Surprise, AZ

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
14010 N LITCHFIELD RD STE 208, SURPRISE, AZ 85379(480) 677-8282(888) 316-1686 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Aug 17, 2024 (2 updates tracked since 2024).

About Mrs. Nicole Lynn Costello Aprn NPPES

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

MRS. NICOLE LYNN COSTELLO APRN (NPI 1770334757) is an individual family provider in Surprise, Arizona, licensed in Arizona (312978) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770334757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICOLE LYNN COSTELLOCredential: APRN
Location Address14010 N LITCHFIELD RD STE 208Surprise, AZ 85379-8770
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (888) 316-1686
Fax(888) 316-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 28, 2024
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1770334757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 312978
14010 N LITCHFIELD RD STE 208, Surprise, AZ 85379

Other Names 1

Former Name (1)Mrs. Nicole Lynn O'connor Rn

Other Identifiers 1

Medicaid183979AZ

Accepted 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

Mrs. Nicole Lynn Costello Aprn 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 ID3173064318
PECOS Enrollment IDI20240916001967
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 85379 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES

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

Family Medicine
14010 N LITCHFIELD RD STE 208
SURPRISE, AZ 85379

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 Nicole Costello's NPI number?

The NPI number for Nicole Costello is 1770334757. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Mrs. Nicole Lynn O'connor Rn.

Where is Nicole Costello located?

Nicole Costello practices at 14010 N Litchfield Rd Ste 208, Surprise, AZ 85379. The listed phone number is (480) 677-8282.

What is Nicole Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Costello enrolled in Medicare?

Yes. Nicole 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 Nicole Costello accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Costello was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.