Active NPI
Ellen Marie Costello, APN
- Family Nurse Practitioner
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209007696
- Practice address
- 14680 S la Grange Rd
Orland Park, IL 60462-2510 - Phone
- (800) 323-8622
- NPI assigned
- Nov 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209007696 | IL | Primary |
Addresses
Primary practice location
14680 S la Grange Rd
Orland Park, IL 60462-2510
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other names 1
- Ellen Marie Noonan
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | ecostello205522@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007696 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645
4740 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-4334
14680 S La Grange Rd
Orland Park, IL 60462
Phone (224) 225-0260
1 University Pkwy
University Pk, IL 60484
Phone (708) 235-2120
Interoperability endpoints
- ecostello205522@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
dba Bethany Hospital
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1184951246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14680 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622510",
"telephone_number": "800-323-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "ELLEN",
"middle_name": "MARIE",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209007696",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "14680 S La Grange Rd",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604622510",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecostello205522@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "14680 S La Grange Rd",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604622510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "NOONAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
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- Ian Cox, OTR/L
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- Bridget Nicole Craig, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.