Lisa Costello, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00900700 Issued in NJ

Practice address

100 K Johnson Blvd N.
2ND Floor
Bordentown, NJ 08505

Phone

(609) 528-8884

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score

96.91 of 100Reported as apm

Quality

79.42

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
• Direct secure messaging: lisa.costello.1@12833.direct.athenahealth.com

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.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1174085435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD N.",
            "address_2": "2ND FLR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-528-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD N.",
            "address_2": "2ND FLOOR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "08505",
            "telephone_number": "609-528-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Whitehorse Mercerville Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193834",
            "country_code": "US",
            "telephone_number": "609-528-8884",
            "fax_number": "609-528-8886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "LISA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00900700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.costello.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 K Johnson Blvd N.",
            "address_2": "2nd Floor",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Collins, LPC
• Sarah Contor
• Cope Counseling Services, LLC
• Erin Caitlin Corley, MS, LAC, NCC
• Maria Deoca Corwin, PH.D LCSW
• Counseling for Well-Being, LLC
• Pamela Y Dahl, MT
• Jillian Marie-Munn Daniels, LCSW
• Karen N Davidson
• Susan Lynn Davis-Marsters, MA, NCC, CSW, LPC

• Family Nurse Practitioner in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.