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MIHAELA MICHAEL AGACNP
NPI 1912419169
Nurse Practitioner - Gerontology in Toms River, NJ

Active since October 27, 2017PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2024, Mar 17, 2018, Oct 27, 2017 (3 updates tracked since 2017).

About Mihaela Michael Agacnp NPPES

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

MIHAELA MICHAEL AGACNP (NPI 1912419169) is an individual gerontology provider in Toms River, New Jersey, licensed in New Jersey (26NJ00774900) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912419169
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMIHAELA MICHAELCredential: AGACNP
Location Address99 HIGHWAY 37 WToms River, NJ 08755-6423
Mailing Address162 Torrey Pines DrToms River, NJ 08757-5724 · (732) 914-9329
Phone(732) 557-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 27, 2017
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1912419169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ00774900
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 26NJ00774900 (NJ)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ00774900 (NJ)
99 HIGHWAY 37 W, Toms River, NJ 08755
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 222-5200
Location 21 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (732) 828-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mihaela Michael Agacnp 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 ID2264795624
PECOS Enrollment IDI20180417001802
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.
328 services215 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.
50 services45 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.
40 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

MARY ROMETTI MD
Emergency Medicine
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
DR. EDAMWEN EWEKA MD, MBA
Emergency Medicine
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
RAVALI KUNDETI DO
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
MICHELE COLE
Physical Therapist
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
ANSHU SUTIHAR MD
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2110
MR. RYAN ANTHONY FERET PA-C
Physician Assistant (Medical)
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SULAIMAAN SIDDIQUI MD
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
DR. RYAN AUSTIN KNIPE DO
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604

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 Mihaela Michael's NPI number?

The NPI number for Mihaela Michael is 1912419169. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Where is Mihaela Michael located?

Mihaela Michael practices at 99 Highway 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Mihaela Michael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mihaela Michael enrolled in Medicare?

Yes. Mihaela Michael 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.

What insurance does Mihaela Michael accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mihaela Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mihaela Michael affiliated with any hospitals?

According to CMS data, Mihaela Michael is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Mihaela Michael was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.