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

Jennifer Costello, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1346711223

Jennifer Costello, AGACNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

111 S 11th St
Philadelphia, PA 19107-4824
Phone: (215) 955-4535
Fax: (215) 503-5939
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP019737 (PA)

Record details

NPI number1346711223
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018

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 Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia