Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Costella

Individual provider Family Nurse Practitioner · NPI 1245705516

Amanda Costella is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2018, 8 years ago. Practices with Impact Health PC, a 79-clinician group and works from 2 locations. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-4677
Fax: (203) 384-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Old Waterbury Rd Ste 108, Southbury, CT 06488-3848 — (203) 262-4200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7888 (CT)

Record details

NPI number1245705516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2018
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address20 York Street, Cb-329, New Haven, CT 06510-3220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated

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