MICHELE LYNN ELIA NP
NPI 1114170651
Nurse Practitioner - Family in Buffalo, NY

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
565 ABBOTT RD, MERCY HOSPITAL OF BUFFALO, BUFFALO, NY 14220(716) 828-2434(716) 828-3417 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michele Lynn Elia Np NPPES

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

MICHELE LYNN ELIA NP (NPI 1114170651) is an individual family provider in Buffalo, New York, licensed in New York (F335731-1) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114170651
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELE LYNN ELIACredential: NP
Location Address565 ABBOTT RD, MERCY HOSPITAL OF BUFFALOBuffalo, NY 14220-2039
Mailing Address5208 Dorst StHamburg, NY 14075-6620 · (716) 445-1343
Fax(716) 828-3417
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 28, 2008
Last NPPES UpdateMay 31, 2011
NPI 1114170651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F335731-1
565 ABBOTT RD, Buffalo, NY 14220

Other Identifiers 1

OtherF335731-1NY · Nys License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michele Lynn Elia Np 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 ID7618023185
PECOS Enrollment IDI20090924000493
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14220 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%64 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%111 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%136 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%221 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
25%67 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,263 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,324 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
90%536 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%413 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%708 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%708 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%708 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%708 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Medicine & Rehabilitation
565 ABBOTT RD, DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION
BUFFALO, NY 14220
Internal Medicine (Cardiovascular Disease)
565 ABBOTT RD, MERCY HOSPITAL
BUFFALO, NY 14220
Midwife
565 ABBOTT RD, MERCY HOSPITAL DEPT OB/GYN
BUFFALO, NY 14220
Registered Nurse
565 ABBOTT RD
BUFFALO, NY 14220
Anesthesiology
565 ABBOTT RD
BUFFALO, NY 14220
Anesthesiology
565 ABBOTT RD
BUFFALO, NY 14220
Anesthesiology
565 ABBOTT RD
BUFFALO, NY 14220
Anesthesiology
565 ABBOTT RD
BUFFALO, NY 14220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114170651, enumerated as an "individual" on October 28, 2008.

The provider is located at 565 ABBOTT RD MERCY HOSPITAL OF BUFFALO BUFFALO, NY 14220 and the phone number is (716) 828-2434.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.