LOUISA MICELI NP
NPI 1639566144
Nurse Practitioner - Primary Care in Philadelphia, PA

Q: What is Louisa Miceli's NPI number?

The NPI number for Louisa Miceli is 1639566144. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Q: What is Louisa Miceli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Louisa Miceli was last updated on December 21, 2021. 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.

Active since April 22, 2015PECOS Enrolled

4508 CHESTNUT ST, PHILADELPHIA, PA 19139(610) 787-9417 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2021, Feb 18, 2016 (2 updates tracked since 2016).

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About Louisa Miceli Np NPPES

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

LOUISA MICELI NP (NPI 1639566144) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP014923) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639566144

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameLOUISA MICELICredential: NP

Location Address4508 CHESTNUT STPhiladelphia, PA 19139-3608

Mailing Address4508 Chestnut St, Suite 500Philadelphia, PA 19139-3608 · (215) 573-3632 · Fax (215) 573-6848

Phone(610) 787-9417

Sole ProprietorNo

Enumeration DateApril 22, 2015

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1639566144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in PA · SP014923

4508 CHESTNUT ST, Philadelphia, PA 19139

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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 (PECOS)

Louisa Miceli Np 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 19139 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.

Other Providers at the Same Location NPPES 14

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

MS. GWEN MARIE LECH GNP-BC

Nurse Practitioner (Gerontology)

4508 CHESTNUT ST
PHILA, PA 19139

Philadelphia County (215) 746-2127

UPENN LIFE

Health Maintenance Organization