1. Home
  2. Directory
  3. New Jersey
  4. West Orange
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE ITIDIARE
NPI 1194180349
Nurse Practitioner - Family in West Orange, NJ

Active since December 15, 2015PECOS Enrolled
347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052(908) 420-1361 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2016, Dec 15, 2015 (2 updates tracked since 2015).

About Michelle Itidiare NPPES

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

MICHELLE ITIDIARE (NPI 1194180349) is an individual family provider in West Orange, New Jersey, licensed in New Jersey (26NJ00625200) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194180349
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE ITIDIARE
Location Address347 MOUNT PLEASANT AVE, SUITE 103West Orange, NJ 07052-2744
Mailing Address347 Mount Pleasant Ave, Suite 103West Orange, NJ 07052-2744
Phone(908) 420-1361
Sole ProprietorNo
Enumeration DateDecember 15, 2015
Last NPPES UpdateNovember 30, 20162 updates tracked since enumeration
✔ NPI 1194180349 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 NJ · 26NJ00625200
347 MOUNT PLEASANT AVE, West Orange, NJ 07052
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 (PECOS)

Michelle Itidiare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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.
100%1,993 patients5/55-star benchmark: 100%
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.
17%441 patients1/55-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.
79%1,054 patients4/55-star benchmark: 100%
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…
75%1,054 patients4/55-star benchmark: 100%
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.

MICHELE COLON APN-C
Nurse Practitioner (Acute Care)
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052
Essex County (973) 571-2121
SUJELIS PEREZ PA-C
Physician Assistant
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Essex County (973) 571-2121
ARTHUR C TUTELA II MD PA
Ophthalmology
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 669-1240
MRS. GARLAND LEE PA
Physician Assistant (Medical)
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052
Essex County (973) 571-2121
DR. ARTHUR C TUTELA II M.D.
Ophthalmology
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 669-1240
MARC ABBATE MD
Dermatology
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Essex County (973) 571-2121
VASCULAR ACCESS CENTER OF WEST ORANGE, LLC
Radiology (Vascular & Interventional Radiology)
347 MOUNT PLEASANT AVE, SUITE 100
WEST ORANGE, NJ 07052
Essex County (215) 382-3680
DR. LEWIS PETER STOLMAN MD
Dermatology
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052
Essex County (973) 740-0101

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 Itidiare's NPI number?

The NPI number for Michelle Itidiare is 1194180349. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Michelle Itidiare located?

Michelle Itidiare practices at 347 Mount Pleasant Ave Suite 103, West Orange, NJ 07052. The listed phone number is (908) 420-1361.

What is Michelle Itidiare's specialty?

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

Is Michelle Itidiare enrolled in Medicare?

Yes. Michelle Itidiare is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Itidiare was last updated on November 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.