Individual provider Active NPI

Eileen Costa, FNP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1952862625
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140432 Issued in TX
Practice address
807 Stark St
Austin, TX 78756-1508
Phone
(512) 452-2506
NPI assigned
Mar 26, 2019
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140432 TX Primary

Addresses

Primary practice location

807 Stark St
Austin, TX 78756-1508

Mailing address

807 Stark St
Austin, TX 78756-1508
Phone (512) 452-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200930002484 TX Practitioner - Nurse Practitioner 6901225556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Aline C Zeringue Acns-BC, PLLCGroup PAC ID 4880984566, 5 clinicians

Practice addresses (Care Compare)

12429 Scofield Farms Dr
Austin, TX 78758-2640
Phone (737) 932-6829

807 Stark St
Austin, TX 78756-1508
Phone (512) 452-2506

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aline C Zeringue Acns-BC, PLLC CurrentSince Jun 30, 2020 Accepting new patients
RC Raley Professional Association CurrentSince Aug 4, 2024 Accepting new patients

Locations

2301 W North Loop Blvd
Austin, TX 78756
Phone (512) 452-2506

807 Stark St
Austin, TX 78756
Phone (512) 452-2506

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1952862625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 STARK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561508",
            "telephone_number": "512-452-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 STARK ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561508",
            "telephone_number": "512-452-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "EILEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.