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

Nicole Woodman Costanzo, NP

Individual provider Family Nurse Practitioner · NPI 1154054930

Nicole Woodman Costanzo, NP is a Nurse Practitioner in Midlothian, Virginia. Qualified in 2022, 4 years ago. Practices with Bon Secours St Marys Hospital of Richmond LLC, a 67-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

13710 St Francis Blvd Ste 600
Midlothian, VA 23114-3267
Phone: (804) 794-6400
Fax: (804) 897-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024184660 (VA)

Record details

NPI number1154054930
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 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 Bon Secours St Marys Hospital Of Richmond Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Midlothian