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

Lindsey Ann Costello

Individual provider Physician Assistant · NPI 1619858453

Lindsey Ann Costello is a Physician Assistant in Roanoke, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

3 Riverside Cir
Roanoke, VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 983-8212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 425 Church Ave Sw Apt 216, Roanoke, VA 24016-5041 — (540) 749-9718

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011596 (VA)

Record details

NPI number1619858453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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