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

Nicole Costello, PA-C

Individual provider Physician Assistant · NPI 1194403600

Nicole Costello, PA-C is a Physician Assistant in Waterville, Maine. Qualified in 2023, 3 years ago. Practices with Mainegeneral Medical Center, a 556-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

211 Main St
Waterville, ME 04901
Phone: (207) 877-3450
Fax: (207) 872-7910
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1260 Elm St, Manchester, NH 03101-1305 — (603) 314-1701

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2633 (ME)

Record details

NPI number1194403600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESMay 15, 2025
Certification dateApril 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainegeneral Medical Center — 556 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waterville