Active NPI
Kamrie Christine Costello, FNP-C
- Otolaryngology Physician
- Olean, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- SP017667
- Practice address
- 535 Main St Ste 1
Olean, NY 14760-1593 - Phone
- (716) 372-0141
- NPI assigned
- Jul 12, 2017
- Last updated
- Apr 14, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017667 | PA | |
| Otolaryngology Physician | 207Y00000X | SP017667 | PA | Primary |
Addresses
Primary practice location
535 Main St Ste 1
Olean, NY 14760-1593
Mailing address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone (814) 274-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E 2ND St
Coudersport, PA 16915-8161
11 8TH St
Coudersport, PA 16915-1207
Phone (814) 274-1111
15 Meade St
Wellsboro, PA 16901-1813
Phone (814) 274-5243
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017667 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford Family Medicine, Inc. | Current | Accepting new patients | |
| Olean Medical Practice PLLC | Current | Accepting new patients | |
| Charles Cole Memorial Hospital | Current | Accepting new patients | |
| Charles Cole Memorial Hospital | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients |
Locations
535 Main St
Olean, NY 14760
Phone (716) 372-0141
535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141
14 N 3rd St
Bradford, PA 16701
Phone (814) 362-6962
1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407
Interoperability endpoints
- kamrie.c.costello@upmcdirect.com
- kcostello65684@upmc.direct-ci.com
Organizations & group practices 5
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.
-
dba UPMC Cole
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
-
- Family Medicine Physician
- Bradford, PA
- NPI 1245272525
-
dba Olean Medical Group
- Multi-Specialty Clinic/Center
- Olean, NY
- NPI 1679223366
-
- Gastroenterology Physician
- Coudersport, PA
- NPI 1639546153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
dba UPMC Cole
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1407378383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161",
"telephone_number": "814-274-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MAIN ST STE 1",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601593",
"telephone_number": "716-372-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "KAMRIE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017667",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "SP017667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
- Chelsea Connor, LMSW
- Kimberly Marie Conroy, APRN-BC
- Lisa Cook
- Brielle Lauren Cornelius
- Denise Ann Cornell, MS, PT
- Janet Elaine Cottillion, RN
- Michelle L Cough
- Council on Addiction Recovery Services Inc (Wendy's House Supportive Living)
- Council on Addiction Recovery Services, Inc. (CAReS)
- County of Cattaraugus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.