Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAELA ANTJE SQUIRE DO
NPI 1376164061
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT

Q: What is Michaela Squire's NPI number?

The NPI number for Michaela Squire is 1376164061. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Q: What is Michaela Squire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Michaela Squire was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since May 04, 2020PECOS Enrolled

81 N MARIO CAPECCHI DR RM 4B096, SALT LAKE CITY, UT 84113(801) 581-2121 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Mar 24, 2025, May 4, 2020 (3 updates tracked since 2020).

On this page

About Michaela Antje Squire Do NPPES

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

MICHAELA ANTJE SQUIRE DO (NPI 1376164061) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Utah (14212907-1204) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1376164061

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameMICHAELA ANTJE SQUIRECredential: DO

Location Address81 N MARIO CAPECCHI DR RM 4B096Salt Lake City, UT 84113-1125

Mailing Address81 N Mario Capecchi Dr Rm 4b096Salt Lake City, UT 84113-1125 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorYes

Enumeration DateMay 4, 2020

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1376164061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in UT · 14212907-1204

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 14212907-1204 (UT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 261938 (NC)

81 N MARIO CAPECCHI DR RM 4B096, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 11512 E Franklin St Ste 100Chapel Hill, NC 27514-2816 · Phone (984) 974-6669 · Fax (984) 974-9609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Antje Squire Do 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 84113 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES

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

DR. LAUREN ELIZABETH CHORNY DO

Psychiatry & Neurology (Epilepsy)

81 N MARIO CAPECCHI DR RM 4B096
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-5700

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 Michaela Squire's NPI number?

The NPI number for Michaela Squire is 1376164061. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Michaela Squire located?

Michaela Squire practices at 81 N Mario Capecchi Dr Rm 4b096, Salt Lake City, UT 84113. The listed phone number is (801) 581-2121.

What is Michaela Squire's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Michaela Squire enrolled in Medicare?

Yes. Michaela Squire is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michaela Squire was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.