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

Mrs. Libby A Costello Gard, FNP

Individual provider Ambulatory Care Registered Nurse · NPI 1326239195

Mrs. Libby A Costello Gard, FNP is a Nurse Practitioner in Missoula, Montana. Qualified in 2007, 19 years ago. Practices with Sapphire Community Health Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
19
Licensed in
MT, OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone: (406) 327-3057
Fax: (406) 327-3231
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NUR-APRN-LIC-126782 (MT)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 099007632RN (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 200850014NP (OR)

Record details

NPI number1326239195
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sapphire Community Health Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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