EVELYN COSTALES (APN) – Family Nurse Practitioner, NPI 1447067442

EVELYN COSTALES (APN) is a healthcare provider. based in Downers grove, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209031223 (IL). The NPI Number for EVELYN COSTALES (APN) is 1447067442

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
EVELYN COSTALES (APN)
NPI
1447067442
Phone
(847) 436-1412
Address
5906 PERSHING AVE
Enumeration Date
12 December 2024
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3124276000
Graduation Year
2023 (3 years ago)
PAC ID
9436670783
Group Practice PAC ID
0840210019
Professional Enrollment ID
I20250304001073
Address ID
IL606163924CH3232XDRXX600
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for EVELYN COSTALES (APN)

  • 5906 PERSHING AVE

    DOWNERS GROVE, IL 605161727

    Phone: (847) 436-1412

    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: 2025-03-04

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
I20250304001073INurse PractitionerILTBD

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 60516)

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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: 0840210019View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is EVELYN COSTALES (APN) listed with a National Provider Identifier?
Yes — EVELYN COSTALES (APN) has NPI 1447067442 on file in the registry.
Active or inactive — what applies to EVELYN COSTALES (APN)?
You should see EVELYN COSTALES (APN) as active in CMS-hosted NPPES data.
What clinical focus is listed for EVELYN COSTALES (APN)?
At a glance, EVELYN COSTALES (APN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is EVELYN COSTALES (APN) located near Downers Grove?
EVELYN COSTALES (APN) currently maps to Downers Grove, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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