Michelle Biala, MSN, CRNP, AGACNP-BC
NPI 1205407822 · Acute Care Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Biala, MSN, CRNP, AGACNP-BC is a Acute Care Nurse Practitioner provider in Philadelphia, PA (NPI 1205407822).
Provider details
- NPI number
- 1205407822
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, CRNP, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- SP024725 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
243 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 125 | $84 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 59 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $57 |
| Biopsy and Aspiration of Bone Marrow Sample for Diagnosis38222 | 16 | $64 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 11 | $14 |
Typical Medicare-allowed amounts for these services range $14–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 250 | 63 |
| Oxycodone Hcl | 122 | 23 |
| Valacyclovir Hclbrand: Valacyclovir | 73 | 27 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 64 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 53 | 24 |
| Venetoclaxbrand: Venclexta | 48 | — |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$211 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Michelle Biala's NPI number?
- Michelle Biala's National Provider Identifier (NPI) is 1205407822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Biala's specialty?
- Michelle Biala is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michelle Biala located?
- Michelle Biala's practice location on file with NPPES is 230 W Washington Square, Philadelphia, PA 19106-3500.
- What is Michelle Biala's phone number?
- The practice phone number listed in the NPPES registry for Michelle Biala is (215) 829-6088.
- Does Michelle Biala accept Medicare?
- Michelle Biala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Biala's NPI active?
- Yes — Michelle Biala's NPI (1205407822) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.