Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mara Kelly Costa, APRN-BC

Individual provider Nurse Practitioner · NPI 1689227100

Mara Kelly Costa, APRN-BC is a Nurse Practitioner in Henderson, Nevada. Qualified in 2019, 7 years ago. Practices with Ammar PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
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Practice location Address checks out

2430 W Horizon Ridge Pkwy
Henderson, NV 89052-2729
Phone: (702) 247-9994
Fax: (702) 651-9995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 822306 (NV)

Record details

NPI number1689227100
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESAugust 23, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ammar Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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