COLLEEN COSTELLO LEE (FNP-BC) – Family Nurse Practitioner, NPI 1780048561
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COLLEEN COSTELLO LEE (FNP-BC)
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Fax: (219) 703-6854
Type: Mailing
350 N Wall St
Kankakee, IL 609012901
Phone: (815) 933-1671
Type: Location
1500 S Lake Park Ave
Hobart, IN 463426638
Phone: (219) 947-6200
Fax: (219) 947-6220
Type: Location
7651 Harvest Dr
Schererville, IN 463753476
Phone: (219) 322-5723
Fax: (219) 440-5227
Type: Location
9660 Wicker Ave
Saint John, IN 463739487
Phone: (219) 365-1177
Fax: (219) 703-6662
Type: Location
4321 Fir St
East Chicago, IN 463123049
Phone: (219) 392-7200
Fax: (219) 392-7206
Type: Location
10240 Calumet Ave
Munster, IN 463214082
Phone: (219) 703-2420
Fax: (219) 703-6765
Type: Location
3800 Saint Mary Rd
Valparaiso, IN 463833986
Phone: (219) 286-3707
Fax: (219) 286-3764
Type: Location
10215 Broadway Fl 1
Crown Point, IN 463078001
Phone: (219) 661-6098
Fax: (219) 703-6812
Type: Location
Emergency Physicians Medical Group, 2000, Green Road, Ann Arbor, Washtenaw County, Michigan, 48105, United States
SUITE 300
ANN ARBOR, MI 481051598
Phone: (734) 686-6362
Fax: (734) 686-6362
Type: Mailing
Riverside Medical Center, 350, North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 609012901
Phone: (815) 933-1671
Type: Location
901 MACARTHUR BLVD
MUNSTER, IN 463212901
Phone: (219) 836-4511
Fax: (219) 836-4082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
| Penumbra, Inc. | $19 |
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: 2020-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160610001439 | I | Nurse Practitioner | IL | TBD |
| I20200403001236 | I | Nurse Practitioner | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 88 | 88 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 51 | 51 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 17 | 17 | $0 |
| 99291 | Critical care, first 30-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 46410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| - | IN | |
| - | IL | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | TX |
Reviews
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