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

Mary Cathleen Costello

Individual provider Adult Health Nurse Practitioner · NPI 1164155123

Mary Cathleen Costello is a Nurse Practitioner in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3000 Medical Park Dr Ste 300
Tampa, FL 33613-4696
Phone: (813) 497-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038
  • 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 — (813) 540-4322

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11020897 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11020897 (FL)

Record details

NPI number1164155123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESAugust 10, 2025
Certification dateAugust 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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