MISS JACLYN P COSTA (AUD) – Audiologist, NPI 1407385453

Audiologist

MISS JACLYN P COSTA (AUD) is a healthcare provider. based in Bradenton, Florida. specializing in Audiologist. They hold the professional credentials AUD. They hold a License No. AY2116 (FL). The NPI Number for MISS JACLYN P COSTA (AUD) is 1407385453

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

MISS JACLYN P COSTA (AUD)

NPI

1407385453

Phone

(941) 749-5222

Address

701 MANATEE AVE W STE 201

Enumeration Date

5 June 2017

Last Update Date

21 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9417495222

Graduation Year

2017 (9 years ago)

PAC ID

7416213251

Group Practice PAC ID

2860474822

Professional Enrollment ID

I20171109003092

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MISS JACLYN P COSTA (AUD)

201, Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States
BRADENTON, FL 342058624
Phone: (941) 749-5222
Fax: (941) 749-1839
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2860474822View full group profile

Name	Specialty	State
AMM YI LIANG (AUD)	Qualified Audiologist	FL
DR. CARMELO ORTEGA (AU.D.. - CCC-A)	Qualified Audiologist	FL
MS. DANIELLE ELISABETH HUMMEL (AU.D.)	Qualified Audiologist	FL
BRIAN K HOBAN (M.D.)	O T O L A R Y N G O L O G Y	FL
KRISTEN D VANWATTEGHEM	Qualified Audiologist	FL
GARY P RODRIGUEZ (PH.D.)	-	FL
DR. LYNETTE LESLIE DORNTON (AUD)	Qualified Audiologist	FL