ANDREA COSTANZO (FNP) – Family Nurse Practitioner, NPI 1740587500

ANDREA COSTANZO (FNP) is a healthcare provider. based in East stroudsburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 5016182 (NC). The NPI Number for ANDREA COSTANZO (FNP) is 1740587500

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA COSTANZO (FNP)
NPI
1740587500
Phone
(570) 420-4951
Address
206 E BROWN ST
Enumeration Date
14 February 2011
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7049321155
Graduation Year
2010 (16 years ago)
PAC ID
8820275696
Group Practice PAC ID
2961310685
Professional Enrollment ID
I20220718002960
Address ID
NC280810303KA201XXBLVD401

Contacts

Secure Messaging
acostanzo933539@CarolinasHealthcareSystem.direct-ci.com
Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

11,473 NURSE PRACTITIONER in PA

Provider Addresses for ANDREA COSTANZO (FNP)

  • 206 E BROWN ST

    POCONO HEALTHCARE MANAGEMENT - PROFESSIONAL CENTER

    EAST STROUDSBURG, PA 183013006

    Phone: (570) 420-4951

    Fax: (570) 476-3754

    Type: Mailing

  • 200 E BROWN ST

    IMMEDIATE CARE CENTER

    EAST STROUDSBURG, PA 183013006

    Phone: (570) 476-3700

    Fax: (570) 476-3637

    Type: Location

  • 201 DALE EARNHARDT BLVD

    STE 200

    KANNAPOLIS, NC 280810308

    Phone: (704) 932-1155

    Type: Location

  • PO BOX 19305

    CHARLOTTE, NC 282199305

    Phone:

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110602000722INurse PractitionerPATBD
I20220718002960INurse PractitionerNCTBD

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 minutes11896$0
99213Established patient office or other outpatient visit, 20-29 minutes9182$0
99495Transitional care management services for problem of at least moderate complexity1111$0
View full utilization report →

Insurance plans in this area (ZIP 18301)

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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: 2961310685View full group profile
NameSpecialtyState
Physician AssistantNC
-NC
-NC
Hospitalist, Family PracticeNC
Physician AssistantNC
Infectious Disease, Internal MedicineNC
-NC
-NC
P S Y C H I A T R YNC
-NC

Reviews

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Frequently asked questions

What is ANDREA COSTANZO (FNP)'s NPI number?
ANDREA COSTANZO (FNP)'s NPI is 1740587500 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ANDREA COSTANZO (FNP)?
You should see ANDREA COSTANZO (FNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANDREA COSTANZO (FNP)?
At a glance, ANDREA COSTANZO (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANDREA COSTANZO (FNP) located near East Stroudsburg?
ANDREA COSTANZO (FNP) currently maps to East Stroudsburg, Pennsylvania in this extract.
Can I trust this NPI listing for ANDREA COSTANZO (FNP)?
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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