Active NPI
Michelle Corona Costley, FNP-BC
- Family Nurse Practitioner
- Harlingen, TX
National Provider Identifier
1992009930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP13866
- Practice address
- Unimovil Unit
2102 Treasure Hills Blvd., #1.326 (Base)
Harlingen, TX 78550 - Phone
- (956) 296-1700
- Fax
- (956) 296-1331
- NPI assigned
- Jan 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 670483 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP13866 | TX | Primary |
Addresses
Primary practice location
Unimovil Unit
2102 Treasure Hills Blvd., #1.326 (Base)
Harlingen, TX 78550
Mailing address
2102 Treasure Hills Blvd
# 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437
Other practice location 1
1214 W Schunior St
Edinburg, TX 78541-2337
Phone (956) 296-1731
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286369805 | Medicaid | TX | |
| H08MK73201 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- Quality
- 72.49
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 68.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 670483 | TX | MD | Family Nurse Practitioner |
| AP13866 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Rio Grande Valley | Past | Accepting new patients | |
| University of Texas Rio Grande Valley | Past | Accepting new patients |
Interoperability endpoints
- mcostley67956@direct.utmb.edu
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.
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1477960730
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1992009930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 TREASURE HILLS BLVD",
"address_2": "# 3.14406",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785508736",
"telephone_number": "956-296-1437",
"fax_number": "956-296-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIMOVIL UNIT",
"address_2": "2102 TREASURE HILLS BLVD., #1.326 (BASE)",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-296-1700",
"fax_number": "956-296-1331"
}
],
"practiceLocations": [
{
"address_1": "1214 W Schunior St",
"address_purpose": "LOCATION",
"city": "Edinburg",
"state": "TX",
"postal_code": "785412337",
"country_code": "US",
"telephone_number": "956-296-1731",
"fax_number": "956-296-1730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTLEY",
"first_name": "MICHELLE",
"middle_name": "CORONA",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-05",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "670483",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP13866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286369805",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "H08MK73201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.