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MRS. MICHELLE SPANN PRICE CRNP
NPI 1992057111
Nurse Practitioner - Acute Care in Birmingham, AL

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
THT 422 1530 3RD AVE S, BIRMINGHAM, AL 35294(205) 934-3398 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Michelle Spann Price Crnp NPPES

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

MRS. MICHELLE SPANN PRICE CRNP (NPI 1992057111) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-122418) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992057111
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. MICHELLE SPANN PRICECredential: CRNP
Location AddressTHT 422 1530 3RD AVE SBirmingham, AL 35294-0006
Mailing Address2660 10th Ave S, Ste 528Birmingham, AL 35205-1625 · (205) 933-9258 · Fax (205) 933-6504
Phone(205) 934-3398
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 11, 2012
Last NPPES UpdateJune 30, 2016
✔ NPI 1992057111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-122418
THT 422 1530 3RD AVE S, Birmingham, AL 35294
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Michelle Lockett Spann Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Mrs. Michelle Spann Price Crnp 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 ID2961647250
PECOS Enrollment IDI20130313000489
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

2

Medicare enrollment records show Michelle Price reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC
0.8 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100
Stv Pulmonary Group LLC
1.4 mi
Pulmonary Disease
800 SAINT VINCENTS DR STE 600
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
NPI 1548797566 (205) 933-9258

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

Areas of Expertise CMS Part B claims 5

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.
73 services65 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.
22 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services20 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.
14 services14 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35294 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost80.54

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers25 claims25 services$34.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers63 claims63 services$81.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers62 claims172 services$30.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers53 claims303 services$16.65 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers60 claims60 services$48.05 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
14 suppliers82 claims82 services$16.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MS. APRIL MICHELLE LEE CRNP
Nurse Practitioner (Acute Care)
THT 422 1530 3RD AVE S
BIRMINGHAM, AL 35294
Jefferson County (205) 934-3398

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 Price's NPI number?

The NPI number for Michelle Price is 1992057111. It was assigned to this individual provider in the NPPES registry on October 11, 2012. The provider is also known as Ms. Michelle Lockett Spann Crnp.

Where is Michelle Price located?

Michelle Price practices at Tht 422 1530 3rd Ave S, Birmingham, AL 35294. The listed phone number is (205) 934-3398.

What is Michelle Price's specialty?

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

Is Michelle Price enrolled in Medicare?

Yes. Michelle Price 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 Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Price reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Stv Pulmonary Group LLC (Birmingham, AL). 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 Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Price accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Michelle Price 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.

When was this NPI record last updated?

The NPPES record for Michelle Price was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.