Kristen Jo Costello, DNP, ACNP-BC - Medicare Nurse Practitioner in Glendale, AZ

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Kristen Jo Costello, DNP, ACNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Glendale, Arizona. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is 5757 W Thunderbird Rd Ste E456, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (028) 656-4570.

Kristen Jo Costello is licensed to practice in Arizona (license number AP5063) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619319753.

Contact Information

Kristen Jo Costello, DNP, ACNP-BC
5757 W Thunderbird Rd Ste E456,
Glendale, AZ 85306-4650
(028) 656-4570
(602) 865-4575

Map and Direction




Provider's Profile

Full NameKristen Jo Costello
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location5757 W Thunderbird Rd Ste E456, Glendale, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Jo Costello graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1619319753
  • Provider Enumeration Date: 07/17/2013
  • Last Update Date: 07/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274776471
  • Enrollment ID: I20130906000320

Medical Identifiers

Medical identifiers for Kristen Jo Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619319753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP5063 (Arizona)Secondary
363LA2200XNurse Practitioner - Adult Health AP5063 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Physician Specialists Arizona Llc6204002272258

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Jo Costello allows following entities to bill medicare on her behalf.
Entity NameHonorhealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801092564
PECOS PAC ID: 1456258607
Enrollment ID: O20031216000350
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameHonorhealth Ambulatory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449
Entity NameBanner Cancer Center Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Jo Costello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen Jo Costello, DNP, ACNP-BC
5757 W Thunderbird Rd Ste E456,
Glendale, AZ 85306-4650

Ph: (028) 656-4570		Kristen Jo Costello, DNP, ACNP-BC
5757 W Thunderbird Rd Ste E456,
Glendale, AZ 85306-4650

Ph: (028) 656-4570

Reviews and Comments


Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306
Phone: 602-865-4442    Fax: 602-865-4507
Kaitlin Spivey, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308
Phone: 623-248-2100    
Ruth E Sanders, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 5041 N 86th Dr, Glendale, AZ 85305
Phone: 866-389-2727    Fax: 612-659-7101
Kelly Lynn Rauch, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307
Phone: 623-882-1292    Fax: 623-882-8184
Joyce Kim, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302
Phone: 602-773-5546    
Anthony James Shaw, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303
Phone: 602-568-8381    
Victoria Bowers, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6808 N Dysart Rd Ste 136, Glendale, AZ 85307
Phone: 623-215-2525    Fax: 623-215-4555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.