1. Home
  2. Directory
  3. Pennsylvania
  4. Allentown
  5. Nurse Practitioner
  6. NPI Profile

MICHELE CUSTER CRNP
NPI 1124582598
Nurse Practitioner in Allentown, PA

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
85.58/100
CMS Quality Rating
250 CETRONIA RD, ALLENTOWN, PA 18104(610) 973-6200(866) 644-0894 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, Jan 29, 2019 (2 updates tracked since 2019).

About Michele Custer Crnp NPPES

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

MICHELE CUSTER CRNP (NPI 1124582598) is an individual nurse practitioner in Allentown, Pennsylvania, licensed in Pennsylvania (SP020096) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124582598
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELE CUSTERCredential: CRNP
Location Address250 CETRONIA RDAllentown, PA 18104-9147
Mailing Address250 Cetronia Rd Ste 303Allentown, PA 18104-9168 · (610) 973-6200 · Fax (866) 644-0894
Phone(610) 973-6200
Fax(866) 644-0894
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1124582598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in PA · SP020096✔ Licensed in PA · 2018085716
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.
250 CETRONIA RD, Allentown, PA 18104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Custer Crnp 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 ID3870827934
PECOS Enrollment IDI20190624000510
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 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 with moderate level of decision making, if using time, 30 minutes or more 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.
451 services200 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services91 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
23 services23 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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.

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.

85.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.18
Promoting Interoperability100
Improvement Activities40
Cost57.76

Reported Quality Measures

Advance Care Plan
98%384 patients4/55-star benchmark: 100%
Breast Cancer Screening
72%273 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
66%268 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
81%36 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%20 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%2,238 patients4/55-star benchmark: 100%
e-Prescribing
98%376 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%364 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%1,016 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
12%2,068 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 833 patients
Patients screened: 98% · 833 patients
95%88 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%724 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%39 patients3/55-star benchmark: 91%
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.

LAWRENCE E WEISS M.D.
Orthopaedic Surgery (Hand Surgery)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
AMY DEVENUTO DPT
Physical Therapist
250 CETRONIA RD, SUITE 210
ALLENTOWN, PA 18104
Lehigh County (610) 674-4911
ANGELA V. FORMAZ MS, ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
MADHAVI CAPOCCIA D.O.
Family Medicine
250 CETRONIA RD, SUITE 115
ALLENTOWN, PA 18104
Lehigh County (610) 395-0307
MR. ABRAHAM NATHAN GILLESPIE ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
JENNIFER L STRANZL RD
Dietitian, Registered
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200
DR. MARIE SUSAN WAGENER D.O.
Dermatology
250 CETRONIA RD, SUITE 301
ALLENTOWN, PA 18104
Lehigh County (610) 437-2378
SARA SMEY LAT, ATC
Specialist/Technologist (Athletic Trainer)
250 CETRONIA RD
ALLENTOWN, PA 18104
Lehigh County (610) 973-6200

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 Michele Custer's NPI number?

The NPI number for Michele Custer is 1124582598. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Michele Custer located?

Michele Custer practices at 250 Cetronia Rd, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Michele Custer's specialty?

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

Is Michele Custer enrolled in Medicare?

Yes. Michele Custer 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.

What insurance does Michele Custer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michele Custer 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.

Is Michele Custer affiliated with any hospitals?

According to CMS data, Michele Custer is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Michele Custer was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.