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

Michael Costanzo, NP

Individual provider Nurse Practitioner · NPI 1245984665

Michael Costanzo, NP is a Nurse Practitioner in Milford, Ohio. Qualified in 2021, 5 years ago. Practices with Optima Dermatology LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5817 Happy Hollow Rd
Milford, OH 45150-1848
Phone: (513) 327-9244
Fax: (513) 323-5201
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0039698 (OH)

Record details

NPI number1245984665
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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