DR. MARIELLEN DENTINO M.D.
NPI 1275533622
Internal Medicine - Nephrology in Evansville, IN
About Dr. Mariellen Dentino M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIELLEN DENTINO M.D. (NPI 1275533622) is an individual nephrology provider in Evansville, Indiana, licensed in Indiana (1024941) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and is a graduate of Indiana University School Of Medicine (1973).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mariellen Dentino M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mariellen Dentino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evansville, IN 47750
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: St Marys Medical Group LLC
- 288 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 7 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Evansville
Acute Care Hospitals · Evansville, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
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 Mariellen Dentino's NPI number?
The NPI number for Mariellen Dentino is 1275533622. It was assigned to this individual provider in the NPPES registry on July 28, 2005.
Where is Mariellen Dentino located?
Mariellen Dentino practices at 3801 Bellemeade Ave Ste 330, Evansville, IN 47714. The listed phone number is (812) 479-3125.
What is Mariellen Dentino's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Mariellen Dentino enrolled in Medicare?
Yes. Mariellen Dentino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mariellen Dentino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariellen Dentino reassigns Medicare benefits to 2 organizations: St Mary's Medical Group, LLC (Evansville, IN) and Nephrology Associates, LLC (Evansville, IN). 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 Mariellen Dentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mariellen Dentino accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mariellen Dentino 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.
Is Mariellen Dentino affiliated with any hospitals?
According to CMS data, Mariellen Dentino is affiliated with Ascension St Vincent Evansville.
When was this NPI record last updated?
The NPPES record for Mariellen Dentino was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mariellen Dentino, M.D. · NPI 1275533622
Nephrology physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1275533622 (Entity type: Individual)
- **Enumerated:** July 28, 2005
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 1024941 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 BELLEMEADE AVE STE 330, Evansville, IN 47714-0113
- **Phone:** (812) 479-3125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Mary's Medical Group, LLC (NPI 1164852539, Evansville, IN); Nephrology Associates, LLC (NPI 1467403758, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1973
## Record status
- **NPPES last updated:** June 17, 2022
- **Other identifiers:** Medicaid 100242750 (IN); Other 390004294 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1275533622) · Data from the CMS NPPES public registry.