Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Lyn Costlow, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1447966262

Michelle Lyn Costlow, PMHNP-BC is a Nurse Practitioner in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Morgan Virtual Psychiatry PLLC, a 6-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, New Mexico and Texas.

Years since qualifying
4
Licensed in
CO, NM, TX
In the registry since
2023
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

121 S Broadway Ave Ste 608
Tyler, TX 75702-7281
Phone: (888) 360-7587
Fax: (979) 446-0280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7535 E Hampden Ave Ste 400, Denver, CO 80231-4844 — (888) 360-7587
  • 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 — (888) 360-7587
  • 3201 University Dr E Ste 240, Bryan, TX 77802-3475 — (888) 360-7587

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1099356 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 74683 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence C-APN.0101005-C-NP (CO)

Record details

NPI number1447966262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 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 Morgan Virtual Psychiatry Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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