Jacqueline R Costello
DNP, APRN, CPNP | Nurse Practitioner - Pediatrics | 22+ years Exp
3000 New Bern Ave, Raleigh
North Carolina, 27610-1231
919-350-8000
Jacqueline R Costello is a Raleigh, North Carolina based nurse practitioner with 22 years of experience in Pediatrics. She completed her graduation in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacqueline R Costello is 5006348 for Pediatrics in North Carolina. Her current practice location is 3000 New Bern Ave, Raleigh. Patients can reach her at 919-350-8000. Jacqueline R Costello is DNP, APRN, CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1003850405.
Jacqueline R Costello specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jacqueline R Costello speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacqueline R Costello |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | DNP, APRN, CPNP |
| Experience: | 22+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2003 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3000 New Bern Ave, Raleigh,
North Carolina, 27610-1231 |
| Phone: | 919-350-8000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3375770118 |
| Enrollment ID: | I20131226000334 |
| NPI Number: | 1003850405 |
| NPI Enumeration Date: | 15 Jun, 2006 |
| NPI Last Update On: | 31 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline R Costello are as mentioned below.
| License Number | Specialization | State | Status | |
| 5006348 | Pediatrics | North Carolina | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jacqueline R Costello is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| East Carolina University (0244143246) | 361 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqueline R Costello such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1003850405 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacqueline R Costello
3000 New Bern Ave,
Raleigh, North Carolina |
| Zip: | 27610-1231 |
Patients can reach Jacqueline R Costello at
3000 New Bern Ave, Raleigh, North Carolina or can
call to book an appointment on 919-350-8000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.