MARY BEENA MAMMEN
NPI 1134615834
Nurse Practitioner - Family in Kokomo, IN

Q: What is Mary Mammen's NPI number?

The NPI number for Mary Mammen is 1134615834. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Mary Mammen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Mammen was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since July 05, 2018PECOS Enrolled

3505 S REED RD, KOKOMO, IN 46902(765) 453-8666 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mary Beena Mammen NPPES

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

MARY BEENA MAMMEN (NPI 1134615834) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71008081A) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134615834

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY BEENA MAMMEN

Location Address3505 S REED RDKokomo, IN 46902-3838

Mailing Address3505 S Reed RdKokomo, IN 46902-3838

Phone(765) 453-8666

Sole ProprietorNo

Enumeration DateJuly 5, 2018

✔ NPI 1134615834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71008081A

3505 S REED RD, Kokomo, IN 46902

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Beena Mammen 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 Mary Mammen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael S. Miller Do, Facos, Cws, PC

44 mi

Surgery

3850 SHORE DR STE 315
Indianapolis, IN 46254

Reassigned Medicare billing, Indiana enrollment
31 clinicians in this Medicare group

NPI 1316072242 (317) 429-0061

State Of Indiana Auditor Of State

45 mi

Nursing Facility/Intermediate Care Facility

3851 N RIVER RD
West Lafayette, IN 47906

Reassigned Medicare billing, Indiana enrollment
112 clinicians in this Medicare group

NPI 1194778001 (765) 463-1502

Ies Hsp Indiana LLC

67 mi

Hospitalist

1125 W JEFFERSON ST
Franklin, IN 46131

Reassigned Medicare billing, Indiana enrollment
28 clinicians in this Medicare group

NPI 1134954647 (317) 736-3300

Aims, LLC

69 mi

Psychiatry

417 S WHITLOCK ST
Bremen, IN 46506

Reassigned Medicare billing, Indiana enrollment
87 clinicians in this Medicare group

NPI 1376072785 (574) 546-0330

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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

38 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 12

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

KAUSALYA CHANDRASEKHAR MD

Specialist