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

Active since January 04, 2023PECOS Enrolled
3500 VIRGINIA BEACH BLVD STE 202, VIRGINIA BEACH, VA 23452(757) 720-1040(757) 720-1041 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Jan 3, 2025, Nov 4, 2024 and 3 more (6 updates tracked since 2023).

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 Address3500 VIRGINIA BEACH BLVD STE 202Virginia Beach, VA 23452-4445
Mailing Address3500 Virginia Beach Blvd Ste 202Virginia Beach, VA 23452-4445 · (757) 720-1040 · Fax (757) 720-1041
Phone(757) 720-1040
Fax(757) 720-1041
Sole ProprietorNo
Enumeration DateJanuary 4, 2023
Last NPPES UpdateJuly 1, 20256 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ 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
3500 VIRGINIA BEACH BLVD STE 202, Virginia Beach, VA 23452
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH LYNN STORY PSY.D.
Psychologist (Clinical)
3500 VIRGINIA BEACH BLVD STE 202
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 720-1040
MINDFUL OASIS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3500 VIRGINIA BEACH BLVD STE 202
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 720-1040

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 3500 Virginia Beach Blvd Ste 202, 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.

What insurance does Mariam Bouanane-smith accept?

Health plans from Providence Health Plan 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 July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.