ANDREW JASON COSTIN – Certified Registered Nurse Anesthetist, NPI 1073016549
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
310 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NM
Provider Addresses for ANDREW JASON COSTIN
4161 PURPLE SAGE DR
LAS CRUCES, NM 880114377
Phone:
Type: Mailing
2450 S TELSHOR BLVD
LAS CRUCES, NM 880115069
Phone: (575) 522-8641
Type: Location
15080 SUMMIT PLACE CIR
NAPLES, FL 341194119
Phone:
Type: Mailing
Carlsbad Medical Center, 2430, West Pierce Street, Carlsbad, Eddy County, New Mexico, 88220, United States
CARLSBAD, NM 882203553
Phone: (575) 887-4100
Type: Location
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Boston Scientific Corporation ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $17 |
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: 2018-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180423000868 | I | Certified Registered Nurse Anesthetist (Crna) | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 88011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Clinical Nurse Specialist (Cns) | NM | |
| Nurse Practitioner | TX | |
| General Surgery | NM | |
| Physician Assistant | NM | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease | NM | |
| General Surgery, Vascular Surgery | CA | |
| Nurse Practitioner | NM | |
| General Surgery | NM |
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