NATHAN COSTIUC (APRN) – Family Nurse Practitioner, NPI 1407472855

NATHAN COSTIUC (APRN) is a healthcare provider. based in Wellington, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11007639 (FL). The NPI Number for NATHAN COSTIUC (APRN) is 1407472855

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN COSTIUC (APRN)
NPI
1407472855
Phone
(561) 727-9654
Address
2036 SUNDERLAND AVE
Enumeration Date
22 June 2020
Last Update Date
22 June 2020

Doctor Profile

Medical School Name
FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Secondary Phone
6128190597
Graduation Year
2020 (6 years ago)
PAC ID
4981075314
Group Practice PAC ID
0749593481
Professional Enrollment ID
I20250219000113
Address ID
MN551062126SA1385XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for NATHAN COSTIUC (APRN)

  • 2036 SUNDERLAND AVE

    WELLINGTON, FL 334147714

    Phone: (561) 727-9654

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250219000113INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 33414)

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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: 0749593481View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerPA
Nurse PractitionerMN
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)RI
Sleep MedicineNJ
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does NATHAN COSTIUC (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NATHAN COSTIUC (APRN) uses 1407472855.
Can I rely on NATHAN COSTIUC (APRN) being an active provider?
As of the registry snapshot, NATHAN COSTIUC (APRN) is marked active.
What is NATHAN COSTIUC (APRN) best known for clinically?
Directory data describes NATHAN COSTIUC (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is NATHAN COSTIUC (APRN) based?
NATHAN COSTIUC (APRN) is tied to Wellington, Florida in the data we show; additional addresses may exist on the full record.
Why does NATHAN COSTIUC (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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