MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC
NPI 1053024026
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Q: What is Mariam Bouanane-smith's NPI number?

The NPI number for Mariam Bouanane-smith is 1053024026. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Q: What is Mariam Bouanane-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 04, 2023PECOS Enrolled

580 LYNNHAVEN PKWY STE 203, VIRGINIA BEACH, VA 23452(757) 720-1040(757) 720-1041 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Jul 1, 2025, Jan 3, 2025 and 4 more (7 updates tracked since 2023).

On this page

About Mariam Sophia Bouanane-smith Pmhnp-bc NPPES

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

MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC (NPI 1053024026) is an individual psychiatric/mental health provider in Virginia Beach, Virginia, licensed in Virginia (0024187257) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053024026

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARIAM SOPHIA BOUANANE-SMITHCredential: PMHNP-BC

Location Address580 LYNNHAVEN PKWY STE 203Virginia Beach, VA 23452-7333

Mailing Address580 Lynnhaven Pkwy Ste 203Virginia Beach, VA 23452-7333 · (757) 720-1040 · Fax (757) 720-1041

Phone(757) 720-1040

Fax(757) 720-1041

Sole ProprietorNo

Enumeration DateJanuary 4, 2023

Last NPPES UpdateAugust 19, 20267 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1053024026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024187257

580 LYNNHAVEN PKWY STE 203, Virginia Beach, VA 23452

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Sophia Bouanane-smith Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Mariam Bouanane-smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mindful Oasis LLC

Same address

Mental Health (Including Community Mental Health Center)

580 LYNNHAVEN PKWY STE 20
Virginia Beach, VA 23452

Reassigned Medicare billing, Virginia enrollment

NPI 1366260150 (757) 720-1040

Cs Pacs 3 Southeast, LLC

286 mi

Hospitalist

1600 BLAND ST
Bluefield, WV 24701

Reassigned Medicare billing, Virginia enrollment
47 clinicians in this Medicare group

NPI 1154104958 (304) 327-2485

Virginia Pac Services PC

324 mi

Hospitalist

15051 HARMONY HILLS LN
Abingdon, VA 24211

Reassigned Medicare billing, Virginia enrollment
67 clinicians in this Medicare group

NPI 1073042800 (865) 693-1000

Nv Pacs 2 LLC

2,170 mi

Hospitalist

10550 PARK RUN DR
Las Vegas, NV 89144

Reassigned Medicare billing, Virginia enrollment
62 clinicians in this Medicare group

NPI 1427534809 (865) 693-1000

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 3

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

182 services182 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

171 services88 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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 Mariam Bouanane-smith's NPI number?

The NPI number for Mariam Bouanane-smith is 1053024026. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Mariam Bouanane-smith located?

Mariam Bouanane-smith practices at 580 Lynnhaven Pkwy Ste 203, Virginia Beach, VA 23452. The listed phone number is (757) 720-1040.

What is Mariam Bouanane-smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mariam Bouanane-smith enrolled in Medicare?

Yes. Mariam Bouanane-smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mariam Bouanane-smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Bouanane-smith reassigns Medicare benefits to 4 organizations: Mindful Oasis LLC (Virginia Beach, VA), Cs Pacs 3 Southeast, LLC (Bluefield, WV), Virginia Pac Services PC (Abingdon, VA) and Nv Pacs 2 LLC (Las Vegas, NV). 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 Mariam Bouanane-smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariam Bouanane-smith accept?

Health plans from Oscar Health list Mariam Bouanane-smith 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 Mariam Bouanane-smith was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.