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2026 NPPES data Acute Care Nurse Practitioner NPI 1205407822 MSN, CRNP, AGACNP-BC
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Michelle Biala, MSN, CRNP, AGACNP-BC

Acute Care Nurse Practitioner in Philadelphia, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,697 in Acute Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 202 beneficiaries · Acute Care Nurse Practitioner avg: 576
MIPS score
85.5/100
▲ 2 pts above national avg 83.5 · Above neutral
Industry payments
$211.48
3 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Michelle Biala, MSN, CRNP, AGACNP-BC reported a CMS MIPS final score of 85.5/100 - above the 83.5 national average - and filed 1,620 Medicare Part D claims in 2023.

85.5/100
MIPS score · +2 vs avg
2K
Part D claims, 2023
$211.48
industry payments (Sunshine Act)
≥46th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Michelle Biala, MSN, CRNP, AGACNP-BC

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1205407822), first enumerated 07/06/2021.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,620 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 85.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $211.48 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Michelle Biala, MSN, CRNP, AGACNP-BC's individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1205407822 · Acute Care Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1205407822
  • ENUM-RECENT 2021
  • TAX-MID 25K Acute Care
  • MIPS-INLINE 85.5/100
  • RX-MID 1,620
  • BOOK-LIGHT 1,220 in Pennsylvania
  • PHOTO-FINISH Rebecca Abeyawardene · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michelle Biala, MSN, CRNP, AGACNP-BC's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

86 ≥ 46th percentile 46% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Michelle Biala, MSN, CRNP, AGACNP-BC sits

This provider among acute care nurse practitioner peers

Across the 3,830 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Biala, MSN, CRNP, AGACNP-BC writes more Part D claims than 91% of them and scores higher on MIPS quality than 47% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 28Michelle Biala, MSN, CRNP, AGACNP-BC, Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 47
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Michelle Biala, MSN, CRNP, AGACNP-BC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Michelle Biala, MSN, CRNP, AGACNP-BC?

High performer (top quartile)

NPI registry status

Active

Issued 07/06/2021

NPI 1205407822

Primary specialty

Acute Care Nurse Practitioner

Mid-sized

24,697 US NPIs in this specialty

Medicare Part D claims

1,620 181% vs specialty avg

2023 prescription claims

Specialty avg: 576

MIPS final score

85.5/100 2 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Acute Care Nurse Practitioner compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Acute Care Nurse Practitioner0.5%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Michelle Biala, MSN, CRNP, AGACNP-BC's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
85.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%85.5%
MIPS final score (Acute Care Nurse Practitioner) - 85.5/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

230 W WASHINGTON SQUARE
Philadelphia, PA 19106
(215) 829-6088

Provider Details

NPI 1205407822
Specialty Acute Care Nurse Practitioner
Credentials MSN, CRNP, AGACNP-BC
Gender Female
NPI Issued 07/06/2021

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.4852
Final Score
Measured-score avg: 83.5
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Michelle Biala, MSN, CRNP, AGACNP-BC bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

University OF Penn-Medical Group
Philadelphia, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Michelle Biala, MSN, CRNP, AGACNP-BC. Source: openpaymentsdata.cms.gov.

Total received

$211

Largest payer

Legend Biotech USA Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Michelle Biala, MSN, CRNP, AGACNP-BC. To verify Michelle Biala, MSN, CRNP, AGACNP-BC's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,620
Total Claims
$1.3M
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,888
Total Day Supply
45,854
Generic Drug Cost
$254K
Opioid Claims
619 (38.2% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
57.6 years
Avg HCC Risk Score
4.15
Gender Split
55% female / 45% male
Age Distribution
<65: 101, 65-74: 62, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Michelle Biala, MSN, CRNP, AGACNP-BC prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone Hcl
 323
Acyclovir
 91
Hydroxyurea
 87
Morphine Sulfate Er
Morphine Sulfate
82
Oxycontin
Oxycodone Hcl
70
Gabapentin
 61
Ibuprofen
 58
Ondansetron Hcl
 41
Xarelto
Rivaroxaban
39
Oxbryta
Voxelotor
35

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Acute Care Nurse Practitioner in PA → All providers in Pennsylvania → Compare specialties →

Acute Care Nurse Practitioner Overview

How Michelle Biala, MSN, CRNP, AGACNP-BC fits within the Acute Care Nurse Practitioner landscape nationally.

24,697
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider

Michelle Biala, MSN, CRNP, AGACNP-BC's 1,620 claims are above the specialty average of 576.

Nationwide Acute Care Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Biala, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (85.5 here).

Rebecca Abeyawardene 85.5 NJ Abigail Horowitz 85.5 NJ Kaitlin James 85.5 NJ Caroline Pratz 85.5 MD

Same NPPES enumeration year (2021)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nissa Galvan Austin, TX Brandi Webb Birmingham, AL Brian Gardner Jacksonville, FL Tashila McAdams Searcy, AR

Nearby Acute Care Nurse Practitioner Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Biala.

One of 1,220 Acute Care Nurse Practitioner providers enrolled in Pennsylvania, 5 are shown here.

Samantha Aaron
Monroeville, PA
Dr. Alexis Aaronson
AGACNP-BC
Harrisburg, PA
Dr. Albert Abbo
CRNP
Philadelphia, PA
Dr. Monica Aber
CRNP
Philadelphia, PA
Dr. Elizabeth Abraham
CRNP
Altoona, PA

Compare Acute Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michelle Biala, MSN, CRNP, AGACNP-BC's specialty? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC specializes in Acute Care Nurse Practitioner and practices in Philadelphia, Pennsylvania. Credentials: MSN, CRNP, AGACNP-BC.
How much does Michelle Biala, MSN, CRNP, AGACNP-BC prescribe under Medicare Part D? ▼
In 2023, Michelle Biala, MSN, CRNP, AGACNP-BC wrote 1,620 Medicare Part D claims totaling $1.3M in drug costs for 202 beneficiaries.
What is Michelle Biala, MSN, CRNP, AGACNP-BC's Medicare quality score? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC has a CMS MIPS Final Score of 85.5/100 (Quality: 73.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Biala, MSN, CRNP, AGACNP-BC located? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC is located at 230 W WASHINGTON SQUARE, Philadelphia, PA, 19106. Phone: (215) 829-6088.
What is Michelle Biala, MSN, CRNP, AGACNP-BC's NPI number? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC's National Provider Identifier (NPI) is 1205407822, issued on 07/06/2021.
Does Michelle Biala, MSN, CRNP, AGACNP-BC prescribe opioids? ▼
Yes, Michelle Biala, MSN, CRNP, AGACNP-BC had 619 opioid claims in 2023 with an opioid prescribing rate of 38.2%.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,697 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does Michelle Biala, MSN, CRNP, AGACNP-BC prescribe most often? ▼
Based on 2023 Medicare Part D data, Michelle Biala, MSN, CRNP, AGACNP-BC's most frequently prescribed drugs include Oxycodone Hcl, Acyclovir, Hydroxyurea. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Biala, MSN, CRNP, AGACNP-BC accept Medicare? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC appears in CMS Medicare data with 1,620 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Biala, MSN, CRNP, AGACNP-BC's credentials? ▼
Michelle Biala, MSN, CRNP, AGACNP-BC's NPI is 1205407822 with credentials MSN, CRNP, AGACNP-BC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.