Individual provider Active NPI

Margaret Irene Costello, RN, ARNP

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1245566629
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-74998-081 Issued in KS
Practice address
6420 Prospect Ave
Suite T407
Kansas City, MO 64132-4147
Phone
(816) 333-5424
NPI assigned
Oct 20, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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 13-87361-081 KS
Adult Health Nurse Practitioner 363LA2200X 2009032629 MO
Registered Nurse 163W00000X 2009026203 MO
Adult Health Nurse Practitioner 363LA2200X 53-74998-081 KS Primary

Addresses

Primary practice location

6420 Prospect Ave
Suite T407
Kansas City, MO 64132-4147

Mailing address

7617 Maple
Prairie Village, KS 66208-4749
Phone (913) 953-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100330000515 KS Practitioner - Nurse Practitioner 0042346058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Kansas LLCGroup PAC ID 4082046412, 14 clinicians

Practice addresses (Care Compare)

8505 College Blvd
Overland Park, KS 66210-1836
Phone (913) 541-3230

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
88.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13-87361-081KSMDRegistered Nurse
2009026203MOMDRegistered Nurse
53-74998-081KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Kansas, LLC CurrentSince Nov 11, 2019 Accepting new patients
Michael S Fedotin & B William Ginsberg PA Past Accepting new patients

Locations

10600 Quivira Rd
Ste 430
Overland Park, KS 66215
Phone (913) 541-3230

8505 College Blvd
Overland Park, KS 66210
Phone (913) 541-3230

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1245566629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 MAPLE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084749",
            "telephone_number": "913-953-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "SUITE T407",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-333-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MARGARET",
        "middle_name": "IRENE",
        "credential": "RN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-87361-081",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2009032629",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009026203",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-74998-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.