Individual provider Active NPI

Susan D Costa

  • Registered Nurse
  • Carlisle, PA
National Provider Identifier
1861479982
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN313103L Issued in PA
Practice address
850 Walnut Bottom Rd
Belvedere Medical Corporation
Carlisle, PA 17013-3698
Phone
(717) 243-2244
Fax
(717) 243-4618
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN313103L PA Primary

Addresses

Primary practice location

850 Walnut Bottom Rd
Belvedere Medical Corporation
Carlisle, PA 17013-3698

Mailing address

850 Walnut Bottom Rd
Belvedere Medical Corporation
Carlisle, PA 17013-3698
Phone (717) 243-2244

Other names 1

  • Ms. Susan Mykut Costa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN313103LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861479982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "address_2": "BELVEDERE MEDICAL CORPORATION",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-243-2244",
            "fax_number": "717-243-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "address_2": "BELVEDERE MEDICAL CORPORATION",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-243-2244",
            "fax_number": "717-243-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN313103L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COSTA",
            "middle_name": "MYKUT",
            "prefix": "MS.",
            "credential": "RN CNOR RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.