Katherine Elizabeth Costa, ACNP-BC - Medicare Nurse Practitioner in Surprise, AZ

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Katherine Elizabeth Costa, ACNP-BC is a medicare enrolled "Nurse Practitioner" physician in Surprise, Arizona. Her current practice location is 14780 W Mountain View Blvd, Suite 110, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 374-7774.

Katherine Elizabeth Costa is licensed to practice in Arizona (license number AP3211) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215014485.

Contact Information

Katherine Elizabeth Costa, ACNP-BC
14780 W Mountain View Blvd, Suite 110,
Surprise, AZ 85374-4799
(623) 374-7774
Not Available

Map and Direction




Physician's Profile

Full NameKatherine Elizabeth Costa
GenderFemale
SpecialityNurse Practitioner
Location14780 W Mountain View Blvd, Surprise, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215014485
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 09/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264419886
  • Enrollment ID: I20090423000212

Medical Identifiers

Medical identifiers for Katherine Elizabeth Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215014485NPI-NPPES
P00143146OtherMSMEDICARE UNITEDHEALTHCARE
05132705MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease R862053 (Mississippi)Secondary
363L00000XNurse Practitioner AP3211 (Arizona)Primary

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. Katherine Elizabeth Costa allows following entities to bill medicare on her behalf.
Entity NameRyan Internal Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033225024
PECOS PAC ID: 4082613708
Enrollment ID: O20061211000025

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. Katherine Elizabeth Costa 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
Katherine Elizabeth Costa, ACNP-BC
14780 W Mountain View Blvd, Suite 110,
Surprise, AZ 85374-4799

Ph: (623) 374-7774		Katherine Elizabeth Costa, ACNP-BC
14780 W Mountain View Blvd, Suite 110,
Surprise, AZ 85374-4799

Ph: (623) 374-7774

Reviews and Comments



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.