MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689389447

MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) is a healthcare provider. based in Lawrenceville, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APN, PMHNP-BC. They hold a License No. 26NJ01424800 (NJ). The NPI Number for MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) is 1689389447

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC)
NPI
1689389447
Phone
(609) 482-3701
Address
LIFE BACK
Enumeration Date
17 January 2023
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2019772889
Graduation Year
2022 (4 years ago)
PAC ID
5294268025
Group Practice PAC ID
8224465927
Professional Enrollment ID
I20241031001660
Address ID
NJ076522901PA351XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC)

  • LIFE BACK

    4 PRINCESS ROAD

    LAWRENCEVILLE, NJ 08648

    Phone: (609) 482-3701

    Type: Location

  • 51 GREENDALE RD

    CEDAR GROVE, NJ 070091312

    Phone: (973) 865-1912

    Type: Mailing

  • 351 EVELYN ST

    PARAMUS, NJ 076522901

    Phone: (201) 977-2889

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-01-09 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$110

General + Research + Ownership

Payments

7

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241031001660INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08648)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224465927View full group profile
NameSpecialtyState
Nurse PractitionerNY
Clinical Social WorkerNY
Clinical Social WorkerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
P S Y C H I A T R YNJ
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Can I cross-check MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) using NPI 1689389447?
NPI 1689389447 belongs to MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC); compare other details if you need extra assurance.
Is MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) shown as active in public data?
Registry records indicate MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) maintains an active NPI.
How would a patient describe MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC)'s focus?
For MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC)?
Directory geography for MRS. MICHELLE R CICALA (MSN, APN, PMHNP-BC) centers on Lawrenceville, New Jersey.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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