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

Individual provider Certified Registered Nurse Anesthetist · NPI 1952346025

Charles Mark Costabell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Louisville, Kentucky. Qualified in 2004, 22 years ago. Practices with University of Louisville Physicians Inc, a 1,433-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
22
Licensed in
KY
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 Abraham Flexner Way Anesthesia Dept
Louisville, KY 40202-1818
Phone: (502) 587-4203
Fax: (502) 587-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 3004487 (KY)

Record details

NPI number1952346025
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESApril 5, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Louisville Physicians Inc — 1433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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