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MICHELLE FORMAN FANTASKI CRNA
NPI 1164469128
Nurse Anesthetist, Certified Registered in Pittsburgh, PA

Active since May 31, 2006Accepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-6581(412) 359-3483 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Forman Fantaski Crna NPPES

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

MICHELLE FORMAN FANTASKI CRNA (NPI 1164469128) is an individual nurse anesthetist, certified registered in Pittsburgh, Pennsylvania, licensed in Pennsylvania (RN295905L) and active in the NPI registry since May 2006. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1164469128
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMICHELLE FORMAN FANTASKICredential: CRNA
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-6581 · Fax (412) 359-3483
Phone(412) 359-6581
Fax(412) 359-3483
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1164469128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in PA · RN295905L
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
320 E NORTH AVE, Pittsburgh, PA 15212
Open in Google Maps ↗

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 Forman Fantaski Crna 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 ID7517034101
PECOS Enrollment IDI20080924000062

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Fantaski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Surgery
320 E NORTH AVE
Pittsburgh, PA 15212
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1023018447 (412) 359-3336
Wexford Anesthesia Associates, PC
12 mi
Anesthesiology
6001 STONEWOOD DR
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group
NPI 1386879567 (724) 933-3810

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

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
MACKENZIE MARIE MCGAHAN DO
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905

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 Fantaski's NPI number?

The NPI number for Michelle Fantaski is 1164469128. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michelle Fantaski located?

Michelle Fantaski practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-6581.

What is Michelle Fantaski's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michelle Fantaski enrolled in Medicare?

Yes. Michelle Fantaski 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 organizations bill Medicare for Michelle Fantaski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Fantaski reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Pittsburgh, PA) and Wexford Anesthesia Associates, PC (Wexford, PA). Each 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 Fantaski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Fantaski was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.