Individual provider Active NPI

Melissa De Costa, APRN

  • Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1235697137
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141214 Issued in TX
Practice address
2031 Wilderness Point Dr
Kingwood, TX 77339-2238
Phone
(832) 455-6468
NPI assigned
Mar 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2302573 MA
Registered Nurse 163W00000X RN767587 TX
Acute Care Nurse Practitioner 363LA2100X AP141214 TX
Nurse Practitioner 363L00000X AP141214 TX Primary

Addresses

Primary practice location

2031 Wilderness Point Dr
Kingwood, TX 77339-2238

Mailing address

2031 Wilderness Point Dr
Kingwood, TX 77339-2238
Phone (832) 455-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190506001680 TX Practitioner - Nurse Practitioner 9133461544 Reassigns benefits to 1 organization
Practice locations: Kingwood, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramakrishna V Chava MD PAGroup PAC ID 5496728982, 5 clinicians

Practice addresses (Care Compare)

18839 McKay Dr
Humble, TX 77338-5721
Phone (281) 446-3655

19002 McKay Dr
Humble, TX 77338-5701
Phone (281) 446-6148

22999 Hwy 59 N
Suite 204
Kingwood, TX 77339-4439
Phone (281) 312-6313

23450 Pine Shadows LN
Porter, TX 77365-6420
Phone (281) 354-2155

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2302573MAMDRegistered Nurse
RN767587TXMDRegistered Nurse
AP141214TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ramakrishna V Chava MD PA CurrentSince Jul 1, 2019 Accepting new patients

Locations

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

19424 McKay Dr
Humble, TX 77338
Phone (281) 319-4060

23450 Pine Shadows Ln
Porter, TX 77365
Phone (281) 354-2155

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1235697137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 WILDERNESS POINT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392238",
            "telephone_number": "832-455-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 WILDERNESS POINT DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392238",
            "telephone_number": "832-455-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE COSTA",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2302573",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "RN767587",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP141214",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.