Nicole Costello, PA-C
NPI 1194403600ActiveIndividual· Physician Assistant· Waterville, ME
Physician Assistant (PA-C) with Mainegeneral Medical Center, practicing in Waterville, Maine. 100 Medicare patients in 2024, $5,057 paid; nearly all of their 210 Part D prescriptions were generic (94%). Lists Maine General Medical Center as a hospital affiliation.
Overview
| NPI | 1194403600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 6, 2023 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | Apr 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2633 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 110 across 4 procedure codes |
| Paid by Medicare | $5,057 |
Part D prescriptions in 2024
| Prescriptions (claims) | 210 · 210 30-day fills |
|---|---|
| Patients | 163 |
| Total drug cost | $3,172 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mainegeneral Medical CenterWaterville, ME · 555 clinicians
Hospital affiliation
- Maine General Medical CenterAugusta, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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