MICHELLE RUMMEL
NPI 1336195296
Nurse Practitioner - Acute Care in Center Valley, PA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
79.86/100
CMS Quality Rating
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034(484) 626-0480(484) 896-9002 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2024, Dec 21, 2021, Dec 23, 2015 (3 updates tracked since 2015).

About Michelle Rummel NPPES

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

MICHELLE RUMMEL (NPI 1336195296) is an individual acute care provider in Center Valley, Pennsylvania, licensed in Pennsylvania (SP008898) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1336195296
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE RUMMEL
Location Address3477 CORPORATE PKWY STE 100Center Valley, PA 18034-8237
Mailing Address1 E Broad St Ste 130Bethlehem, PA 18018-5934 · (484) 626-0480 · Fax (484) 896-9002
Fax(484) 896-9002
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1336195296 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 · SP008898
3477 CORPORATE PKWY STE 100, Center Valley, PA 18034

Secondary Practice Location 1

Location 11200 S Cedar Crest BlvdAllentown, PA 18103-6202 · Phone (610) 402-3068

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 Rummel 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 ID8123030616
PECOS Enrollment IDI20060627000303
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,089 services210 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
165 services80 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
88 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
83 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18034 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.

79.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Improvement Activities40
Cost40.85

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$45.00 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$45.92 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$26.97 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier55 claims55 services$15.41 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier26 claims26 services$6.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Counselor (Mental Health)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Nurse Practitioner (Family)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Physician Assistant (Medical)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Nurse Practitioner (Family)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Nurse Practitioner
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Counselor (Professional)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034
Physician Assistant (Medical)
3477 CORPORATE PKWY STE 100
CENTER VALLEY, PA 18034

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 Rummel's NPI number?

The NPI number for Michelle Rummel is 1336195296. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Michelle Rummel located?

Michelle Rummel practices at 3477 Corporate Pkwy Ste 100, Center Valley, PA 18034. The listed phone number is (484) 626-0480.

What is Michelle Rummel's specialty?

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

Is Michelle Rummel enrolled in Medicare?

Yes. Michelle Rummel 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 Rummel affiliated with any hospitals?

According to CMS data, Michelle Rummel is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Rummel was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.