MARA KELLY COSTA (APRN-BC) – Nurse Practitioner, NPI 1689227100

MARA KELLY COSTA (APRN-BC) is a healthcare provider. based in Henderson, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 822306 (NV). The NPI Number for MARA KELLY COSTA (APRN-BC) is 1689227100

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARA KELLY COSTA (APRN-BC)
NPI
1689227100
Phone
(702) 247-9994
Address
2430 W HORIZON RIDGE PKWY
Enumeration Date
23 July 2019
Last Update Date
23 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023832000
Graduation Year
2019 (7 years ago)
PAC ID
1850623919
Group Practice PAC ID
6204107840
Professional Enrollment ID
I20200421000570
Address ID
NV891022329LA1800XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for MARA KELLY COSTA (APRN-BC)

  • 2430, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States

    HENDERSON, NV 890522729

    Phone: (702) 247-9994

    Fax: (702) 651-9995

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-21

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
I20200421000570INurse PractitionerNVTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes857214$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10387$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 6204107840View full group profile
NameSpecialtyState
N E U R O L O G YNJ
N E U R O L O G YIN

Reviews

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Frequently asked questions

Can I use this page to confirm MARA KELLY COSTA (APRN-BC)'s NPI?
Yes. MARA KELLY COSTA (APRN-BC) is listed with NPI 1689227100 in the public NPI dataset.
Is MARA KELLY COSTA (APRN-BC) still practicing?
MARA KELLY COSTA (APRN-BC) is currently listed as active in the public NPI registry.
What taxonomy line describes MARA KELLY COSTA (APRN-BC)?
For research purposes, treat MARA KELLY COSTA (APRN-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARA KELLY COSTA (APRN-BC)?
MARA KELLY COSTA (APRN-BC)'s geographic hint is Henderson, Nevada in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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