Michelle Lyn Costlow, PMHNP-BC
Nurse Practitioner (CMS) · Tyler, TX
At a glance
121 S Broadway Ave Ste 608, Tyler, TX 75702-7281
NPPES record updated Dec 12, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
121 S Broadway Ave Ste 608Tyler, TX 75702-7281
Additional reported practice locations
500 Marquette Ave Nw Ste 1200Albuquerque, NM 871025312
Phone: 8883607587
Fax: 9794460280 7535 E Hampden Ave Ste 400
Denver, CO 802314844
Phone: 8883607587
Fax: 9794460280 3201 University Dr E Ste 240
Bryan, TX 778023475
Phone: 8883607587
Fax: 9794460280
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2022
- CMS specialties
- Nurse Practitioner
CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $96.75 |
Reporting companies
| Company | Amount |
|---|---|
| TEVA PHARMACEUTICALS USA, INC. | $28.50 |
| ABBVIE INC. | $19.75 |
| OWP PHARMACEUTICALS, INC. | $18.55 |
| ITI, INC. (D/B/A INTRA-CELLULAR THERAPIES, INC.) | $15.38 |
| TAKEDA PHARMACEUTICALS U.S.A., INC. | $14.57 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Nurse Practitioner (CMS)
- Taxonomy code
- 363LP0808X
- Enumeration date
- Jan 25, 2023
- Record updated
- Dec 12, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PMHNP-BC
Reported taxonomies and licenses
363LP0808X · Primary
License reported: 1099356 TX
363LP0808X
License reported: 74683 NM
363LP0808X
License reported: C-APN.0101005-C-NP CO
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
121 S Broadway Ave Ste 608Tyler, TX 75702-7281
- Phone
- (888) 360-7587
- Fax
- (979) 446-0280
Mailing address
1511 TEXAS AVE S PMB 233PMB 233
BRYAN, TX 778023475
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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