Michelle Corona Costley (NPI# 1992009930, PAC ID# 3476832304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992009930 |
| PAC ID by PECOS | 3476832304 |
| Professional Enrollment ID | I20161117001386 |
| Full Name | Michelle Corona Costley |
| Organization Legal Name | RENAISSANCE MEDICAL FOUNDATION |
| Address |
1601 E Sprague St Ecisd Sch B Hlth Ctr Edinburg TX 78542-5260 |
| Phone Number | 9563789290 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153409867 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1601 E Sprague St, Ecisd Sch B Hlth Ctr, Edinburg, TX 78542-5260 | 9563789290 | RENAISSANCE MEDICAL FOUNDATION |
| Organization Legal Name | RENAISSANCE MEDICAL FOUNDATION |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dane Stephen Pawlowski | Family Medicine | Renaissance Medical Foundation | 128 N Fm, Suite 3167, Rio Grande City, TX 78582-6211 |
| San Juanita Salinas-avila | Nurse Practitioner | Renaissance Medical Foundation | 1100 E Dove Ave, Mcallen, TX 78504-4679 |
| Jessica Renee Garza | Clinical Social Worker | Renaissance Medical Foundation | 1002 W Sam Houston Blvd, Suite 10, Pharr, TX 78577-5198 |
| Aidee C Nunez | Nurse Practitioner | Renaissance Medical Foundation | 5323 S Mccoll Rd, Edinburg, TX 78539-9115 |
| Eduardo Estevis | Psychologist, Clinical | Renaissance Medical Foundation | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 |
| Khurrum Siddique | Nephrology | Renaissance Medical Foundation | 2001 S Cynthia St B, Ped Spec Ren Ped Neursurg, Mcallen, TX 78503-1298 |
| Henrietta Jeanette Peynado | Nurse Practitioner | Renaissance Medical Foundation | 5111 S Mccoll Rd, Care Path At Renaissance, Edinburg, TX 78539-8278 |
| Cherie J Johnson | Obstetrics/gynecology | Renaissance Medical Foundation | 2821 Michaelangelo Dr, Suite 401, Edinburg, TX 78539-1405 |
| Joseph Dean Mccracken | Hematology/oncology | Renaissance Medical Foundation | 2717 Michaelangelo Dr, Suite 200, Edinburg, TX 78539-1412 |
| Felix G Rivera-perez | Neurology | Renaissance Medical Foundation | 2108 S M St, Suite 4, Mcallen, TX 78503-1556 |
| Street Address |
1601 E SPRAGUE ST ECISD SCH B HLTH CTR |
| City | EDINBURG |
| State | TX |
| Zip | 78542-5260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa I Gomez-martinez | Family Medicine | Renaissance Medical Foundation | 1601 E Sprague St, Ecisd Sch B Hlth Ctr, Edinburg, TX 78542-5260 |
| Maria C Madrid | Family Medicine | Renaissance Medical Foundation | 1601 E Sprague St, Ecisd Sch B Hlth Ctr, Edinburg, TX 78542-5260 |
| Ricardo Javier Garza | Nurse Practitioner | Renaissance Medical Foundation | 1601 E Sprague St, Ecisd Sch B Hlth Ctr, Edinburg, TX 78542-5260 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Baker Anderson | Optometry | University of Texas Rio Grande Valley | 3341 E Richardson Rd, John Pena Memorial Clinic, Edinburg, TX 78542-0353 |
| Juan J Garrastegui | Internal Medicine | Mcallen Hospitalist Group Pllc | 18360 S Fm, 493 Suite 1, Edinburg, TX 78542-1869 |
| Gideao Rodrigues | Emergency Medicine | Municipal Emergency Medicine Associates, Pa | 3615 N Interstate 69c, Edinburg, TX 78542-3262 |
| Vladimir F Semilla | Family Medicine | Municipal Emergency Medicine Associates, Pa | 3615 N Interstate 69c, Edinburg, TX 78542-3262 |
| Maria Quevedo | Emergency Medicine | Municipal Emergency Medicine Associates, Pa | 3615 N Interstate 69c, Edinburg, TX 78542-3262 |
| Julia Mitchell | Family Medicine | Municipal Emergency Medicine Associates, Pa | 3615 N Interstate 69c, Edinburg, TX 78542-3262 |
| Haritha Mikkilineni | Emergency Medicine | Municipal Emergency Medicine Associates, Pa | 3615 N Interstate 69c, Edinburg, TX 78542-3262 |
| Gregson S Edwards | Podiatry | 3409 E Efrain St, Edinburg, TX 78542-9527 |
| City | EDINBURG |
| Zip Code | 78542 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EDINBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle Corona Costley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.