KIMBERLY J COSTA (NP) – Adult Health Nurse Practitioner, NPI 1912957887

KIMBERLY J COSTA (NP) is a healthcare provider. based in Medford, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 251684 (MA). The NPI Number for KIMBERLY J COSTA (NP) is 1912957887

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY J COSTA (NP)
NPI
1912957887
Phone
(781) 391-3532
Address
101 MAIN ST
Enumeration Date
11 May 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783232850
Graduation Year
2005 (21 years ago)
PAC ID
2668496795
Group Practice PAC ID
4486976792
Professional Enrollment ID
I20060802000298
Address ID
MA018622328NO199XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for KIMBERLY J COSTA (NP)

  • 101, Main Street, Medford, Middlesex County, Massachusetts, 02155, United States

    SUITE 214

    MEDFORD, MA 021554540

    Phone: (781) 391-3532

    Fax: (781) 391-6224

    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: 2006-08-02

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
I20060802000298INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9291$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b3939$0
81002Urinalysis, manual test2120$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique1818$0
View full utilization report →

Insurance plans in this area (ZIP 02155)

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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: 4486976792View full group profile
NameSpecialtyState
Physician AssistantNH
Physician AssistantMA
Family PracticeOK
Family PracticeMA
-MA
Family PracticeFL
Nurse PractitionerMA
Emergency MedicineMA
Physician AssistantNH
-MA

Reviews

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Frequently asked questions

Is KIMBERLY J COSTA (NP) listed with a National Provider Identifier?
Yes — KIMBERLY J COSTA (NP) has NPI 1912957887 on file in the registry.
Would KIMBERLY J COSTA (NP) appear as active to a payer?
You can treat KIMBERLY J COSTA (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KIMBERLY J COSTA (NP)'s focus?
For KIMBERLY J COSTA (NP), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KIMBERLY J COSTA (NP) located near Medford?
KIMBERLY J COSTA (NP) currently maps to Medford, Massachusetts in this extract.
Can I trust this NPI listing for KIMBERLY J COSTA (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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