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

Kristine M Costello, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1922469402

Kristine M Costello, ANP is a Nurse Practitioner in Godfrey, Illinois. Qualified in 2015, 11 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
11
Licensed in
IL, MO
In the registry since
2016
Specialties on file
2

Practice location Address checks out

5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Phone: (618) 619-3330
Show map & directions

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

Additional practice locations (1)

  • 5520 Godfrey Rd Ste B, Godfrey, IL 62035-2741 — (618) 463-7800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209013674 (IL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2016000994 (MO)

Record details

NPI number1922469402
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMarch 11, 2016
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Godfrey