JENNIFER COSTELLO – Family Nurse Practitioner, NPI 1538705694

JENNIFER COSTELLO is a healthcare provider. based in Lagrange, Ohio. specializing in Family Nurse Practitioner. They hold a License No. APRN.CNP.026002 (OH). The NPI Number for JENNIFER COSTELLO is 1538705694

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER COSTELLO
NPI
1538705694
Phone
(440) 669-6384
Address
336 FOREST ST
Enumeration Date
25 November 2019
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404494500
Graduation Year
2019 (7 years ago)
PAC ID
0345664447
Group Practice PAC ID
2264337955
Professional Enrollment ID
I20200722002215
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER COSTELLO

  • 336 FOREST ST

    LAGRANGE, OH 440509685

    Phone: (440) 669-6384

    Type: Mailing

  • 5812 RIDGE RD

    PARMA, OH 441293161

    Phone: (440) 669-6384

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 44050)

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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: 2264337955View full group profile
NameSpecialtyState
MRS. STEPHANIE MARIE RIVERA (MSN, APRN, FNP-C)
Nurse PractitionerOH
ALLAN EHRENREICH
Nurse PractitionerOH
ALLISON JINDRA (CNP)
-OH
ELIZABETH B BOWE (CNS)
-OH
ERIC WILLIAM KROLIK (PA-C)
Physician AssistantOH
HOLLY NICOLE MARIOLA
Physician AssistantOH
KYLE MICHAEL JENKINS (PA-C)
Physician AssistantOH
JOSEPHINA PUSKAS (CNP)
Nurse PractitionerOH
MRS. PENNY RENE O'BRIEN-BLACK (CNP, RN)
Nurse PractitionerOH
TINA MARIE VAN KAN-HUNTER (APRN)
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER COSTELLO for billing?
Administrative and clinical systems typically use NPI 1538705694 for JENNIFER COSTELLO.
Should I treat JENNIFER COSTELLO as an active provider?
Patients and plans typically see JENNIFER COSTELLO as active in the national extract.
What type of care does JENNIFER COSTELLO provide?
JENNIFER COSTELLO's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER COSTELLO?
JENNIFER COSTELLO shows a connection to Lagrange, Ohio in registry-derived data.
Why is information missing for JENNIFER COSTELLO?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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