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

David Costello, CRNP

Individual provider Family Nurse Practitioner · NPI 1104053420

David Costello, CRNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2009, 17 years ago. Practices with Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
17
Licensed in
AL, MS
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

4300 15th St
Gulfport, MS 39501-2524
Phone: (228) 864-0828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904287 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-064521 (AL)

Record details

NPI number1104053420
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJune 12, 2009
Last updated in NPPESAugust 9, 2022
Certification dateJuly 29, 2022
Mailing address12825 Hanover Dr, Ocean Springs, MS 39564-2612

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Coastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gulfport