MARYGLEN V. STANICH MD
NPI 1285261594
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT
About Maryglen V. Stanich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYGLEN V. STANICH MD (NPI 1285261594) is an individual neurology with special qualifications in child neurology provider in Salt Lake City, Utah, licensed in Utah (12409779-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryglen V. Stanich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Maryglen Stanich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 751 clinicians in this Medicare group
Absarokee, MT 59001
- Reassigned Medicare billing, Montana enrollment
- 438 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Maryglen Stanich's NPI number?
The NPI number for Maryglen Stanich is 1285261594. It was assigned to this individual provider in the NPPES registry on March 25, 2020. The provider is also known as Mary Glen Vielleux.
Where is Maryglen Stanich located?
Maryglen Stanich practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5701.
What is Maryglen Stanich's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Maryglen Stanich enrolled in Medicare?
Yes. Maryglen Stanich is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Maryglen Stanich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryglen Stanich reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and Scl Health Medical Group - Billings LLC (Absarokee, MT). 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 Maryglen Stanich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryglen Stanich accept?
Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare, Mountain Health CO-OP and PacificSource Health Plans and 4 other insurers list Maryglen Stanich 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 Maryglen Stanich was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Maryglen V. Stanich, MD · NPI 1285261594
Neurology with Special Qualifications in Child Neurology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1285261594 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** 12409779-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1125
- **Phone:** (801) 662-5701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): University Of Utah Pediatric Services (NPI 1568826055, Salt Lake City, UT); Scl Health Medical Group - Billings LLC (NPI 1649883539, Absarokee, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285261594) · Data from the CMS NPPES public registry.