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MICHELLE MACDONALD
NPI 1154064228
Nurse Practitioner - Family in New York, NY

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
333 E 38TH ST FL 6, NEW YORK, NY 10016(646) 501-7200 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Jul 18, 2022, Apr 18, 2022 (3 updates tracked since 2022).

About Michelle Macdonald NPPES

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

MICHELLE MACDONALD (NPI 1154064228) is an individual family provider in New York, New York, licensed in New York (348239) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154064228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE MACDONALD
Location Address333 E 38TH ST FL 6New York, NY 10016-2772
Mailing Address333 E 38th StNew York, NY 10016-2772
Phone(646) 501-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2022
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1154064228 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 · 348239
333 E 38TH ST FL 6, New York, NY 10016
Open in Google Maps ↗

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

Michelle Macdonald 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 ID8022498641
PECOS Enrollment IDI20220629001015
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 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 4

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

LILY ANN WALSH PA-C
Physician Assistant
333 E 38TH ST FL 6
NEW YORK, NY 10016
New York County (212) 598-6010
ROSARIA FERRANTI NP
Nurse Practitioner (Adult Health)
333 E 38TH ST FL 6
NEW YORK, NY 10016
New York County (646) 501-7200
MS. MADELINE AYN BENBENISTE NP
Nurse Practitioner (Adult Health)
333 E 38TH ST FL 6
NEW YORK, NY 10016
New York County (646) 501-7200
ANNE KENNY
Nurse Practitioner (Family)
333 E 38TH ST FL 6
NEW YORK, NY 10016
New York County (646) 501-7200

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 Macdonald's NPI number?

The NPI number for Michelle Macdonald is 1154064228. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Michelle Macdonald located?

Michelle Macdonald practices at 333 E 38th St Fl 6, New York, NY 10016. The listed phone number is (646) 501-7200.

What is Michelle Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Macdonald enrolled in Medicare?

Yes. Michelle Macdonald 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.

Is Michelle Macdonald affiliated with any hospitals?

According to CMS data, Michelle Macdonald is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Michelle Macdonald was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.