2026 NPPES data Registered Nurse NPI 1235697137 APRN
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MELISSA DE COSTA, APRN

Registered Nurse in KINGWOOD, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 186 beneficiaries · Registered Nurse avg: 1K

What the federal data shows

MELISSA DE COSTA, APRN filed 3,003 Medicare Part D claims in 2023 as a Registered Nurse in KINGWOOD, Texas.

3K
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MELISSA DE COSTA, APRN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,003 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MELISSA DE COSTA, APRN?

Quality data not reported

NPI registry status

Active

Issued 03/09/2019

NPI 1235697137

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

3,003 200% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

Specialty distribution in Texas

How Registered Nurse compares to other specialties among Texas providers

Texas providers

Registered Nurse share within Texas

1. Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Registered Nurse ABMS/AOA estimate

Est. board-certified rate (Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Registered Nurse) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MELISSA DE COSTA, APRN appears in the CMS NPPES registry as a Registered Nurse provider holding APRN credentials at 2031 WILDERNESS POINT DR, KINGWOOD, TX, 77339, with a listed phone of (832) 455-6468. NPI 1235697137 was issued on 03/09/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DE COSTA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 3,003 prescription claims written by this provider, covering 186 Medicare beneficiaries and totaling roughly $176K in drug spend, with an opioid prescribing rate of 0.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2031 WILDERNESS POINT DR
KINGWOOD, TX 77339

Provider Details

NPI 1235697137
Specialty Registered Nurse
Credentials APRN
Gender Female
NPI Issued 03/09/2019

Hospital and facility affiliations

Facilities where MELISSA DE COSTA, APRN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

RAMAKRISHNA V CHAVA MD PA
HUMBLE, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to MELISSA DE COSTA, APRN. To verify MELISSA DE COSTA, APRN's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,003
Total Claims
$176K
Total Drug Cost
186
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,055
Total Day Supply
70,640
Generic Drug Cost
$58K
Opioid Claims
23 (0.8% rate)
Antibiotic Claims
129

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
2.95
Gender Split
65% female / 35% male
Age Distribution
<65: 18, 65-74: 59, 75-84: 59, 85+: 50

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MELISSA DE COSTA, APRN prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
161
Levothyroxine Sodium
105
Gabapentin
101
Gemtesa
Vibegron
97
Amlodipine Besylate
85
Furosemide
84
Eliquis
Apixaban
76
Metoprolol Tartrate
70
Potassium Chloride
65
Trazodone Hcl
63

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Registered Nurse Overview

How MELISSA DE COSTA, APRN fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

MELISSA DE COSTA, APRN's 3,003 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as DE COSTA.

Compare Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA DE COSTA, APRN's specialty?
MELISSA DE COSTA, APRN specializes in Registered Nurse and practices in KINGWOOD, Texas. Credentials: APRN.
How much does MELISSA DE COSTA, APRN prescribe under Medicare Part D?
In 2023, MELISSA DE COSTA, APRN wrote 3,003 Medicare Part D claims totaling $176K in drug costs for 186 beneficiaries.
Where is MELISSA DE COSTA, APRN located?
MELISSA DE COSTA, APRN is located at 2031 WILDERNESS POINT DR, KINGWOOD, TX, 77339. Phone: (832) 455-6468.
What is MELISSA DE COSTA, APRN's NPI number?
MELISSA DE COSTA, APRN's National Provider Identifier (NPI) is 1235697137, issued on 03/09/2019.
Does MELISSA DE COSTA, APRN prescribe opioids?
Yes, MELISSA DE COSTA, APRN had 23 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does MELISSA DE COSTA, APRN prescribe most often?
Based on 2023 Medicare Part D data, MELISSA DE COSTA, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA DE COSTA, APRN accept Medicare?
MELISSA DE COSTA, APRN appears in CMS Medicare data with 3,003 Part D claims and 186 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA DE COSTA, APRN's credentials?
MELISSA DE COSTA, APRN's NPI is 1235697137 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology