MICHELLE SIMONE PAUL
NPI 1952024838
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6996(215) 955-6010 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Oct 28, 2022, Sep 26, 2022 (3 updates tracked since 2022).

About Michelle Simone Paul NPPES

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

MICHELLE SIMONE PAUL (NPI 1952024838) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP026523) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1952024838
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE SIMONE PAUL
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address111 S 11th StPhiladelphia, PA 19107-4824 · (215) 955-6996
Fax(215) 955-6010
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
Last NPPES UpdateDecember 2, 20233 updates tracked since enumeration
NPPES CertifiedDecember 2, 2023
✔ NPI 1952024838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP026523
Also ListedRegistered NurseTaxonomy 163W00000X · License RN656635 (PA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ01471800 (NJ)
111 S 11TH ST, Philadelphia, PA 19107

Secondary Practice Location 1

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 342-3150

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Simone Paul 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 ID1254709025
PECOS Enrollment IDI20221129001392, I20231227002065
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Michelle Paul reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1093725145 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
Internal Medicine
3 COOPER PLZ, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 535 clinicians in this Medicare group
Geriatric Medicine
66 ROUND TOP RD
Warren, NJ 07059
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Rpm Care Coordination, PA
  • 11 clinicians in this Medicare group
Geriatric Medicine
83 WOOSTER HTS STE 125
Danbury, CT 06810
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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 20

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

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Paul's NPI number?

The NPI number for Michelle Paul is 1952024838. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Michelle Paul located?

Michelle Paul practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6996.

What is Michelle Paul's specialty?

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

Is Michelle Paul enrolled in Medicare?

Yes. Michelle Paul 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.

Which organizations bill Medicare for Michelle Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Paul reassigns Medicare benefits to 5 organizations: University Of Penn-Medical Group (Philadelphia, PA), Methodist Associates In Healthcare, Inc (Philadelphia, PA), Cooper Physician Offices, PA (Camden, NJ), Rpm Care Coordination, P.A. (Warren, NJ) and Rpm Care Coordination, PC (Danbury, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Paul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Michelle Paul 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 Michelle Paul affiliated with any hospitals?

According to CMS data, Michelle Paul is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Paul was last updated on December 2, 2023. 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.