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Active NPI 1164155123 Individual Practitioner Female Practitioner

Mary Cathleen Costello

Nurse Practitioner • Tampa, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Costello is a certified Nurse Practitioner practicing in Tampa, FL. With approximately 4 years of clinical experience since completing medical education in 2022, Mary Costello delivers high-quality medical care to the local community at 3000 MEDICAL PARK DR STE 300.

Mary Costello is affiliated with Florida Hospital Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3000 Medical Park Dr Ste 300

Tampa, FL 336134696

Telephone 8134979661

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tampa, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
832 Specialists

Practicing in Tampa, FL (8990 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costello (4 Years) 4 Yrs
Tampa Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
96 67 $240.00 $65.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
83 83 $395.00 $108.94

Medical Specialties & State Licenses

CMS Verified: 2025-08-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11020897

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License FL APRN11020897

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
119949500 (FL)
Commercial Insurance / Payer ID Bcbs
TB6FP (FL)

Hospital & Practice Group Affiliations

Florida Hospital Physician Group Inc

13901 Bruce B Downs Blvd, Tampa, FL 336133905

Phone: 8136157260

Secondary Practice Locations

602 S Audubon Ave Ste B

Tampa, FL 336094217

Phone: 8135404322

2 Tampa General Cir

Tampa, FL 336063571

Phone: 8138218038

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Augustine Agocha , MD

Internal Medicine - Cardiovascular Disease

NPI 1003863135

Doctor of Medicine (M.D.)

Paula Hernandez Burgos

Internal Medicine - Cardiovascular Disease

NPI 1194112342
Dr. Francisco Delgado , DO

Internal Medicine - Cardiovascular Disease

NPI 1255579397

Doctor of Osteopathic Medicine (D.O.)

Solil Williams

Behavior Technician

NPI 1285519397
Dr. Mitchell Ohara , DO

Internal Medicine - Interventional Cardiology

NPI 1285705004

Doctor of Osteopathic Medicine (D.O.)

Jill Mclaughlin , APRN

Nurse Practitioner - Family

NPI 1386096337

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 10, 2025

Registered at 3000 MEDICAL PARK DR STE 300, TAMPA, FL 336134696 (Tel: 8134979661)

📍
Updated Business Mailing Address August 10, 2025

Registered at 3000 MEDICAL PARK DR STE 300, TAMPA, FL 336134696 (Tel: 8134979661)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Nurse Practitioner (License #APRN11020897 in FL)

📍
Updated Practice Location August 23, 2023

Registered at 2 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138218038)

📍
Updated Business Mailing Address August 23, 2023

Registered at PO BOX 917770, ORLANDO, FL 328910001

NPI Profile Active July 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2022

Registered at 602 S AUDUBON AVE STE B, TAMPA, FL 336094217 (Tel: 8135404322)

📍
Updated Business Mailing Address July 07, 2022

Registered at 2975 LAKESIDE COMMONS DR APT 203A, TAMPA, FL 336135817 (Tel: 3142038968)

👤
Provider Name / Credentials Updated July 07, 2022

Recorded as MARY COSTELLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Registered Nurse (License #2016036750 in MO)

🟢
Initial NPI Registration & Enumeration July 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164155123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2022
Last Update: August 10, 2025
Sole Proprietor: No

Mailing Address

3000 Medical Park Dr Ste 300

Tampa, FL 336134696

Phone: 8134979661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.