Individual provider Active NPI

Eduardo Costa, N.P.

  • Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1932560240
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024190536 Issued in VA
Practice address
1420 S Main St
Culpeper, VA 22701-3431
Phone
(540) 825-2202
NPI assigned
Mar 14, 2016
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024190536 VA Primary
Nurse Practitioner 363L00000X 71006025A IN

Addresses

Primary practice location

1420 S Main St
Culpeper, VA 22701-3431

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other practice location 1

8177 Clearvista Pkwy
Indianapolis, IN 46256-1662
Phone (317) 621-7801

Other identifiers 2

IdentifierTypeStateIssuer
1932560240MedicaidVA
201355580MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240903001228 VA Practitioner - Nurse Practitioner 3274832910 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince May 16, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince May 16, 2024 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Mar 9, 2025 Accepting new patients

Locations

1420 S Main St
Culpeper, VA 22701
Phone (540) 825-2202

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: ecosta172948@ecommunitydirect.com

Organizations & group practices 3

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1932560240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MAIN ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013431",
            "telephone_number": "540-825-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8177 Clearvista Pkwy",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561662",
            "country_code": "US",
            "telephone_number": "317-621-7801",
            "fax_number": "317-621-7205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "EDUARDO",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024190536",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006025A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932560240",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201355580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.