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MARYA MEI BOLYANATZ FNP
NPI 1164415501
Nurse Practitioner - Family in San Luis Obispo, CA

Active since August 30, 2005PECOS Enrolled
1250 PEACH STREET, SUITE A, SAN LUIS OBISPO, CA 93401(805) 543-4043(805) 543-7640 Get Directions Write a Review

NPPES record last updated: December 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marya Mei Bolyanatz Fnp NPPES

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

MARYA MEI BOLYANATZ FNP (NPI 1164415501) is an individual family provider in San Luis Obispo, California, licensed in California (10508) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164415501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYA MEI BOLYANATZCredential: FNP
Location Address1250 PEACH STREET, SUITE ASan Luis Obispo, CA 93401-2837
Mailing Address117 West Bunny AvenueSanta Maria, CA 93458-2805 · (805) 543-4043 · Fax (805) 543-7640
Phone(805) 543-4043
Fax(805) 543-7640
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 30, 2005
Last NPPES UpdateDecember 26, 2015
✔ NPI 1164415501 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 CA · 10508
1250 PEACH STREET, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Identifiers 1

OtherCB236600CA · Medicare Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Marya Mei Bolyanatz Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709022353
PECOS Enrollment IDI20130426000281
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
214 services205 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services116 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services40 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services25 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
21 services21 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers30 claims30 services$173.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. BLANCA BISUNA MD
Family Medicine
1250 PEACH STREET, SUITE A
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043
DR. SCOTT R NEGRI MD
Family Medicine
1250 PEACH STREET, SUITE A
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-4043

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 Marya Bolyanatz's NPI number?

The NPI number for Marya Bolyanatz is 1164415501. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Marya Bolyanatz located?

Marya Bolyanatz practices at 1250 Peach Street Suite A, San Luis Obispo, CA 93401. The listed phone number is (805) 543-4043.

What is Marya Bolyanatz's specialty?

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

Is Marya Bolyanatz enrolled in Medicare?

Yes. Marya Bolyanatz is registered in the Medicare PECOS enrollment system.

What insurance does Marya Bolyanatz accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Marya Bolyanatz 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 Marya Bolyanatz was last updated on December 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.