MICHELE ELIZABETH MAENNER CRNP
NPI 1184355687
Nurse Practitioner - Adult Health in West Reading, PA

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
301 S 7TH AVE STE 2020, WEST READING, PA 19611(610) 375-6565(610) 375-2065 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michele Elizabeth Maenner Crnp NPPES

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

MICHELE ELIZABETH MAENNER CRNP (NPI 1184355687) is an individual adult health provider in West Reading, Pennsylvania, licensed in Pennsylvania (SP025518) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1184355687
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMICHELE ELIZABETH MAENNERCredential: CRNP
Location Address301 S 7TH AVE STE 2020West Reading, PA 19611-1495
Mailing AddressPo Box 13579Reading, PA 19612-3579
Fax(610) 375-2065
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2022
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
NPI 1184355687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · SP025518
301 S 7TH AVE STE 2020, West Reading, PA 19611

Accepted 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 Elizabeth Maenner 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 ID2466835848
PECOS Enrollment IDI20220817002860
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
177 services119 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
114 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services37 patients
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.
68 services63 patients
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.
41 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Physician Assistant
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Nurse Practitioner
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Nurse Practitioner (Acute Care)
301 S 7TH AVE STE 2020
READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611
Internal Medicine (Cardiovascular Disease)
301 S 7TH AVE STE 2020
WEST READING, PA 19611

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 Maenner's NPI number?

The NPI number for Michele Maenner is 1184355687. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Michele Maenner located?

Michele Maenner practices at 301 S 7th Ave Ste 2020, West Reading, PA 19611. The listed phone number is (610) 375-6565.

What is Michele Maenner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michele Maenner enrolled in Medicare?

Yes. Michele Maenner 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 Maenner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michele Maenner 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 Maenner affiliated with any hospitals?

According to CMS data, Michele Maenner is affiliated with Reading Hospital, Penn State Health St. Joseph and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Michele Maenner was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.