Katherine Elizabeth Costa
ACNP-BC | Nurse Practitioner | 22+ years Exp
14780 W Mountain View Blvd, Suite 110, Surprise
Arizona, 85374-4799
623-374-7774
Katherine Elizabeth Costa is a Surprise, Arizona based nurse practitioner with 22 years of experience in Nurse Practitioner. She completed her graduation from University Of Tennessee, Hsc, College Of Medicine 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 Katherine Elizabeth Costa is AP3211 in Arizona. Her current practice location is 14780 W Mountain View Blvd, Suite 110, Surprise. Patients can reach her at 623-374-7774. Katherine Elizabeth Costa is ACNP-BC with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1215014485.
Katherine Elizabeth Costa has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Katherine Elizabeth Costa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Katherine Elizabeth Costa |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ACNP-BC |
| Experience: | 22+ years |
| Medical School Attended: | University Of Tennessee, Hsc, College Of Medicine |
| Graduation Year: | 2003 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 14780 W Mountain View Blvd, Suite 110, Surprise,
Arizona, 85374-4799 |
| Phone: | 623-374-7774 |
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: | 2264419886 |
| Enrollment ID: | I20090423000212 |
| NPI Number: | 1215014485 |
| NPI Enumeration Date: | 01 Nov, 2006 |
| NPI Last Update On: | 17 Sep, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katherine Elizabeth Costa are as mentioned below.
| License Number | Specialization | State | Status | |
| AP3211 | | Arizona | Primary | |
| R862053 | Internal Medicine | Mississippi | Secondary | |
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 Katherine Elizabeth Costa is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ryan Internal Medicine Pc (4082613708) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Katherine Elizabeth Costa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| P00143146 | Other | Mississippi | MEDICARE UNITEDHEALTHCARE |
| 05132705 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Katherine Elizabeth Costa
14780 W Mountain View Blvd, Suite 110
Surprise, Arizona |
| Zip: | 85374-4799 |
| Phone Number: | 623-374-7774 |
Patients can reach Katherine Elizabeth Costa at
14780 W Mountain View Blvd, Suite 110, Surprise, Arizona or can
call to book an appointment on 623-374-7774.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.