MICHELLE LYN COSTLOW (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1447966262
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MICHELLE LYN COSTLOW (PMHNP-BC)
3201 University Dr E Ste 240
Bryan, TX 778023475
Phone: (888) 360-7587
Fax: (979) 446-0280
Type: Location
500 Marquette Ave NW Ste 1200
Albuquerque, NM 871025312
Phone: (888) 360-7587
Fax: (979) 446-0280
Type: Location
7535 E Hampden Ave Ste 400
Denver, CO 802314844
Phone: (888) 360-7587
Fax: (979) 446-0280
Type: Location
1511 TEXAS AVE S PMB 233
PMB 233
BRYAN, TX 778023475
Phone: (888) 360-7587
Fax: (979) 446-0280
Type: Mailing
121 S BROADWAY AVE STE 608
TYLER, TX 757027281
Phone: (888) 360-7587
Fax: (979) 446-0280
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($18).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $18 |
| Takeda Pharmaceuticals U.S.A., Inc. | $13 |
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: 2023-11-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230922000074 | I | Nurse Practitioner | NM | TBD |
| I20231101003595 | I | Nurse Practitioner | CO | TBD |
| I20231127003048 | I | Nurse Practitioner | TX | 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 77802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | TX |
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