Michelle C Prieto, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP023165 Issued in PA

Practice address

853 2ND Street Pike Ste A1
Richboro, PA 18954-1083

Phone

(215) 485-5713

NPI assigned

May 12, 2010

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle C Gould Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Certified Dermatology PCGroup PAC ID 0345569992, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Certified Dermatology PC

  • Dermatology Physician
  • Richboro, PA
  • NPI 1932592144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1285952556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WILLIAMS LN",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403323",
            "telephone_number": "215-704-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 2ND STREET PIKE STE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541083",
            "telephone_number": "215-485-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN597795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GOULD",
            "middle_name": "C",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00813)
• Suzanne L. Phillips, DPM
• Platinum Health at Richboro LLC (Richboro Rehabilitation & Nursing Center)
• Vinita Ponamgi, MD
• Lauren Pote, OD
• Progressive Pediatric Therapy Associates
• R&R Home Health Care LLC
• Rediclinic of PA, LLC
• Rehabclinics SPT Inc (NovaCare Rehabilitaiton)
• Jamie Reibtein

• Family Nurse Practitioner in Richboro, PA
• Providers in Richboro, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.