ANDREA COSTANZO (FNP) – Family Nurse Practitioner, NPI 1740587500
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110602000722 | I | Nurse Practitioner | PA | TBD |
| I20220718002960 | I | Nurse Practitioner | NC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 82 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 11 | 11 | $0 |
Insurance plans in this area (ZIP 18301)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | NC | |
| - | NC | |
| Hospitalist, Family Practice | NC | |
| Physician Assistant | NC | |
| Infectious Disease, Internal Medicine | NC | |
| - | NC | |
| - | NC | |
| P S Y C H I A T R Y | NC | |
| - | NC |
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