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MICHELLE MAGLAYA BIALA MSN, CRNP, AGACNP-BC
NPI 1205407822
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 2ND FLOOR, PHILADELPHIA, PA 19106(215) 829-6088(215) 829-6104 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2022, Mar 10, 2022, Nov 22, 2021 and 1 more (4 updates tracked since 2021).

About Michelle Maglaya Biala Msn, Crnp, Agacnp-bc NPPES

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

MICHELLE MAGLAYA BIALA MSN, CRNP, AGACNP-BC (NPI 1205407822) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP024725) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205407822
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE MAGLAYA BIALACredential: MSN, CRNP, AGACNP-BC
Location Address230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 2ND FLOORPhiladelphia, PA 19106-3500
Mailing Address230 W Washington Square, Farm Journal Building 2nd FloorPhiladelphia, PA 19106-3500 · (215) 829-6088 · Fax (215) 829-6104
Phone(215) 829-6088
Fax(215) 829-6104
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateJuly 6, 20224 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1205407822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP024725
230 W WASHINGTON SQUARE, Philadelphia, PA 19106
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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 Maglaya Biala Msn, Crnp, Agacnp-bc 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 ID5294121752
PECOS Enrollment IDI20220408001685
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 4

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.
125 services72 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.
59 services38 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.
32 services27 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. LORRAINE AKUA TAKYIWAA BOAKYE M.D.
Orthopaedic Surgery
230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 5TH FLOOR
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-3668
CASEY JO HUMBYRD MD
Orthopaedic Surgery
230 W WASHINGTON SQUARE, FARM JOURNAL BUILDING 5TH FLOOR
PHILADELPHIA, PA 19106
Philadelphia County (215) 829-3668

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 Biala's NPI number?

The NPI number for Michelle Biala is 1205407822. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Michelle Biala located?

Michelle Biala practices at 230 W Washington Square Farm Journal Building 2nd Floor, Philadelphia, PA 19106. The listed phone number is (215) 829-6088.

What is Michelle Biala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michelle Biala enrolled in Medicare?

Yes. Michelle Biala 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 Biala affiliated with any hospitals?

According to CMS data, Michelle Biala is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Biala was last updated on July 6, 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.