Individual provider Active NPI

Kimberly J Costa, NP

  • Adult Health Nurse Practitioner
  • Medford, MA
National Provider Identifier
1912957887
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
251684 Issued in MA
Practice address
101 Main St
Suite 214
Medford, MA 02155-4540
Phone
(781) 391-3532
Fax
(781) 391-6224
NPI assigned
May 11, 2006
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
Adult Health Nurse Practitioner 363LA2200X 251684 MA Primary

Addresses

Primary practice location

101 Main St
Suite 214
Medford, MA 02155-4540

Mailing address

101 Main St
Suite 214
Medford, MA 02155-4540
Phone (781) 391-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060802000298 MA Practitioner - Nurse Practitioner 2668496795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians
Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 323-5945

198 Littleton Rd
Suite 101
Westford, MA 01886-3429
Phone (978) 323-0302

199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 323-2850

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 323-5900

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Cardiology Current Accepting new patients
Circle Health Urgent Care, LLC CurrentSince Aug 1, 2015 Accepting new patients
LGH Merrimack Valley Cardiology Associates, LLC CurrentSince Dec 1, 2025 Accepting new patients
Essex Medical Associates PastSince Dec 15, 2003 Accepting new patients
Hallmark Health System Inc Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

9 Loon Hill Rd
Dracut, MA 01826
Phone (978) 323-0360

33 Bartlett St
Ste 503
Lowell, MA 01852
Phone (978) 458-4300

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

1 Hospital Dr
Lowell, MA 01852
Phone (978) 687-0156

199 Boston Rd
North Billerica, MA 01862
Phone (978) 323-2850

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

1574 Main St
Tewksbury, MA 01876
Phone (978) 323-2819

198 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 323-0302

Organizations & group practices 7

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912957887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "SUITE 214",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-391-3532",
            "fax_number": "781-391-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "address_2": "SUITE 214",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554540",
            "telephone_number": "781-391-3532",
            "fax_number": "781-391-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "251684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.