Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYIAH CUSTER CRNP
NPI 1023934866
Nurse Practitioner in Wilkes Barre, PA

Q: What is Myiah Custer's NPI number?

The NPI number for Myiah Custer is 1023934866. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Q: What is Myiah Custer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Myiah Custer was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since June 25, 2026PECOS Enrolled

1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-6020(570) 808-2306 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Myiah Custer Crnp NPPES

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

MYIAH CUSTER CRNP (NPI 1023934866) is an individual nurse practitioner in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (RN748939) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023934866

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMYIAH CUSTERCredential: CRNP

Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0001

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-6020 · Fax (570) 808-2306

Phone(570) 808-6020

Fax(570) 808-2306

Sole ProprietorNo

Enumeration DateJune 25, 2026

Last NPPES UpdateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1023934866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in PA · RN748939✔ Licensed in PA · SP036312

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License SP036312 (PA)

1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myiah Custer Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

DR. KEVIN P BURKHARDT

Audiologist