KRISTINE M COSTELLO ANP
NPI 1922469402
Nurse Practitioner - Family in Godfrey, IL

Active since March 11, 2016PECOS EnrolledAccepts Medicare Assignment
5213 GODFREY RD STE 110, GODFREY, IL 62035(618) 619-3330 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Apr 17, 2020, Oct 27, 2016 and 1 more (4 updates tracked since 2016).

About Kristine M Costello Anp NPPES

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

KRISTINE M COSTELLO ANP (NPI 1922469402) is an individual family provider in Godfrey, Illinois, licensed in Illinois (209013674) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Godfrey, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922469402
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE M COSTELLOCredential: ANP
Location Address5213 GODFREY RD STE 110Godfrey, IL 62035-2510
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (618) 463-7800 · Fax (618) 467-0073
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 11, 2016
Last NPPES UpdateSeptember 26, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1922469402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209013674
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2016000994 (MO)
5213 GODFREY RD STE 110, Godfrey, IL 62035

Secondary Practice Location 1

Location 15520 Godfrey Rd Ste BGodfrey, IL 62035-2741 · Phone (618) 463-7800 · Fax (618) 467-0073

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

Kristine M Costello Anp 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 ID5496053183
PECOS Enrollment IDI20160413001232
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
395 services338 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
119 services116 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
82 services76 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
67 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62035 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 16

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

Nurse Practitioner
5213 GODFREY RD STE 110
GODFREY, IL 62035
Nurse Practitioner (Adult Health)
5213 GODFREY RD STE 110
GODFREY, IL 62035
Physician Assistant
5213 GODFREY RD STE 110
GODFREY, IL 62035
Family Medicine
5213 GODFREY RD STE 110
GODFREY, IL 62035
Nurse Practitioner
5213 GODFREY RD STE 110
GODFREY, IL 62035
Family Medicine (Sports Medicine)
5213 GODFREY RD STE 110
GODFREY, IL 62035
Nurse Practitioner (Family)
5213 GODFREY RD STE 110
GODFREY, IL 62035
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5213 GODFREY RD STE 110
GODFREY, IL 62035

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 Kristine Costello's NPI number?

The NPI number for Kristine Costello is 1922469402. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Kristine Costello located?

Kristine Costello practices at 5213 Godfrey Rd Ste 110, Godfrey, IL 62035. The listed phone number is (618) 619-3330.

What is Kristine Costello's specialty?

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

Is Kristine Costello enrolled in Medicare?

Yes. Kristine 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.

When was this NPI record last updated?

The NPPES record for Kristine Costello was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.