MICHAEL A PISA CRNP
NPI 1790967073
Nurse Practitioner in Philadelphia, PA

Q: What is Michael Pisa's NPI number?

The NPI number for Michael Pisa is 1790967073. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Q: What is Michael Pisa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Pisa was last updated on March 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2007PECOS Enrolled

3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-3487 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael A Pisa Crnp NPPES

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

MICHAEL A PISA CRNP (NPI 1790967073) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN578860) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790967073

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL A PISACredential: CRNP

Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238

Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 531-2399

Phone(215) 662-3487

Sole ProprietorNo

Enumeration DateNovember 29, 2007

Last NPPES UpdateMarch 24, 2014

✔ NPI 1790967073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · RN578860

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3400 SPRUCE ST, Philadelphia, PA 19104

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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)

Michael A Pisa Crnp 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 19104 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.

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