NPIMap

Individual provider Active NPI

Michele Custer, CRNP

  • Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1124582598
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP020096 Issued in PA
Practice address
250 Cetronia Rd
Allentown, PA 18104-9147
Phone
(610) 973-6200
Fax
(866) 644-0894
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018085716 PA
Nurse Practitioner 363L00000X SP020096 PA Primary

Addresses

Primary practice location

250 Cetronia Rd
Allentown, PA 18104-9147

Mailing address

250 Cetronia Rd Ste 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000510 PA Practitioner - Nurse Practitioner 3870827934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Orthopaedic Associates of AllentownGroup PAC ID 7214841170, 43 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

250 Cetronia Rd
Suite 303
Allentown, PA 18104-9168
Phone (610) 973-6200

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
78.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018085716PAMDNurse Practitioner
SP020096PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Allentown CurrentSince Sep 13, 2021 Accepting new patients
Valley Pain Specialists PC CurrentSince Aug 24, 2020 Accepting new patients
Orthopaedic Associates of Allentown CurrentSince Sep 13, 2021 Accepting new patients
T.Kumar Pendurthi Surgical Associates,LLC CurrentSince May 28, 2019 Accepting new patients

Locations

250 Cetronia Rd
Ste 200
Allentown, PA 18104

250 Cetronia Rd
Allentown, PA 18104
Phone (610) 402-9090

250 Cetronia Rd
Ste 303
Allentown, PA 18104

3600 Fairview St
Bethlehem, PA 18017
Phone (610) 882-0199

2045 Westgate Dr
Bethlehem, PA 18017
Phone (610) 596-4222

4250 Fritch Dr
Bethlehem, PA 18020
Phone (610) 954-9040

1241 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (570) 386-6900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1124582598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD STE 303",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049168",
            "telephone_number": "610-973-6200",
            "fax_number": "866-644-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CETRONIA RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "telephone_number": "610-973-6200",
            "fax_number": "866-644-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "2018085716",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.