Active NPI
Jo Nell Costello, R.N., ANP-C, GNP-C
- Adult Health Nurse Practitioner
- Katy, TX
National Provider Identifier
1164437877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 604569
- Practice address
- 1107 Mahogany Run Dr
Katy, TX 77494-6166 - Phone
- (281) 693-1977
- Fax
- (281) 693-2667
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 604569 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 604569 | TX | Primary |
Addresses
Primary practice location
1107 Mahogany Run Dr
Katy, TX 77494-6166
Mailing address
1107 Mahogany Run Dr
Katy, TX 77494-6166
Phone (281) 693-1977
Other names 1
- Miss Jo Nell Wise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604569 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Associates of America-Texas, PLLC | Adult Health | Past | Accepting new patients |
| Geriatric Associates of America, P.a. | Adult Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Webster, TX
- NPI 1669682886
Adult Health
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1093768673
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164437877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 MAHOGANY RUN DR",
"city": "KATY",
"state": "TX",
"postal_code": "774946166",
"telephone_number": "281-693-1977",
"fax_number": "281-693-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MAHOGANY RUN DR",
"city": "KATY",
"state": "TX",
"postal_code": "774946166",
"telephone_number": "281-693-1977",
"fax_number": "281-693-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JO",
"middle_name": "NELL",
"credential": "R.N., ANP-C, GNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "604569",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "604569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "WISE",
"middle_name": "NELL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.