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

Miss. Michelle Valente Costa

Individual provider Registered Nurse · NPI 1588307235

Miss. Michelle Valente Costa is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2021, 5 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2870
Phone: (203) 384-3000
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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 12.010544 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 10.219809 (CT)

Record details

NPI number1588307235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateMarch 18, 2022

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 Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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