MICHELLE L PIOLE CPNP
NPI 1003058017
Nurse Practitioner - Pediatrics in Maryland Heights, MO

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043(314) 872-6430 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle L Piole Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE L PIOLE CPNP (NPI 1003058017) is an individual pediatrics provider in Maryland Heights, Missouri, licensed in Missouri (2004007025) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2008).

NPPES Registry Identity

NPI1003058017
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMICHELLE L PIOLECredential: CPNP
Location Address11365 DORSETT RDMaryland Heights, MO 63043-3411
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5395
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2008
Enumeration DateApril 6, 2009
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1003058017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2004007025
Also ListedRegistered NurseTaxonomy 163W00000X · License 2004007025 (MO)
11365 DORSETT RD, Maryland Heights, MO 63043

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Piole Cpnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072762160
PECOS Enrollment IDI20121004000754
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Piole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Pediatrics
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Home Health
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Pharmacist
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
General Acute Care Hospital
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Occupational Therapist
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Music Therapist
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043
Pediatrics
11365 DORSETT RD
MARYLAND HEIGHTS, MO 63043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Piole's NPI number?

The NPI number for Michelle Piole is 1003058017. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Michelle Piole located?

Michelle Piole practices at 11365 Dorsett Rd, Maryland Heights, MO 63043. The listed phone number is (314) 872-6430.

What is Michelle Piole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Michelle Piole enrolled in Medicare?

Yes. Michelle Piole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Piole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Piole reassigns Medicare benefits to Ssm Health Care Group (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Piole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Piole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Michelle Piole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Piole was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.