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

Mr. Matthew D Costello

Individual provider Registered Nurse · NPI 1538739693

Mr. Matthew D Costello is a Certified Registered Nurse Anesthetist (CRNA) in Pickerington, Ohio. Qualified in 2021, 5 years ago. Practices with Genesis Anesthesia Providers, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

612 Jillian Frances Cir
Pickerington, OH 43147-1566
Phone: (330) 550-5814
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.0020479 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.418095 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538739693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 30, 2021
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022
Mailing address1675 W Western Reserve Rd Unit 9c, Youngstown, OH 44514-4500

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Genesis Anesthesia Providers, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pickerington