Individual provider Active NPI

Nathan Costiuc, APRN

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1407472855
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007639 Issued in FL
Practice address
2036 Sunderland Ave
Wellington, FL 33414-7714
Phone
(561) 727-9654
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007639 FL Primary

Addresses

Primary practice location

2036 Sunderland Ave
Wellington, FL 33414-7714

Mailing address

2036 Sunderland Ave
Wellington, FL 33414-7714
Phone (561) 727-9654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250219000113 MN Practitioner - Nurse Practitioner 4981075314 Reassigns benefits to 1 organization
I20260615002495 IL Practitioner - Nurse Practitioner 4981075314 Reassigns benefits to 1 organization
I20260625004665 TX Practitioner - Nurse Practitioner 4981075314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Happy Health PLLCGroup PAC ID 0749593481, 10 clinicians

Practice addresses (Care Compare)

1385 Phalen Blvd
Saint Paul, MN 55106-2126
Phone (612) 819-0597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007639FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health PLLC CurrentSince Feb 6, 2025 Accepting new patients

Locations

1385 Phalen Blvd
Saint Paul, MN 55106
Phone (512) 866-1812

6063 Hudson Rd
Ste 300
Woodbury, MN 55125
Phone (651) 217-8044

Interoperability endpoints

  • Direct secure messaging: ncostiuc57575@nchhealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1407472855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 SUNDERLAND AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147714",
            "telephone_number": "561-727-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 SUNDERLAND AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147714",
            "telephone_number": "561-727-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIUC",
        "first_name": "NATHAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.