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MARYJANE AWATIN FNP
NPI 1295200046
Registered Nurse - General Practice in Newport Beach, CA

Active since October 09, 2018PECOS Enrolled
4695 MACARTHUR CT # 1112A, NEWPORT BEACH, CA 92660(084) 446-9226 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryjane Awatin Fnp NPPES

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

MARYJANE AWATIN FNP (NPI 1295200046) is an individual general practice provider in Newport Beach, California, licensed in California (NP95010131) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Banning.

NPPES Registry Identity

NPI1295200046
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMARYJANE AWATINCredential: FNP
Location Address4695 MACARTHUR CT # 1112ANewport Beach, CA 92660-1882
Mailing Address1168 Sandpiper DrBeaumont, CA 92223-2055 · (714) 319-5800
Phone(084) 446-9226
Sole ProprietorNo
Enumeration DateOctober 9, 2018
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1295200046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in CA · NP95010131
4695 MACARTHUR CT # 1112A, Newport Beach, CA 92660
Open in Google Maps ↗

Secondary Practice Location 1

Location 1264 N Highland Springs Ave Ste 2ABanning, CA 92220-3078 · Phone (951) 845-8589

Other Identifiers 1

OtherNP95010131CA · Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryjane Awatin Fnp 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 Reassignment

Medicare enrollment records show Maryjane Awatin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
4.0 mi
Neurology
359 SAN MIGUEL DR, STE 105
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1093117962 (909) 558-2880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

VICTORIA OVERCOMER APRN FNP-C
Nurse Practitioner
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (614) 377-0268
MRS. ALICIA ANN VAN IHINGER APRN-BC
Nurse Practitioner (Adult Health)
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (084) 446-9226
CARE CONNECTORS HUM, LLC
General Practice
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (615) 414-4115
CARE CONNECTORS MEDICAL GROUP, P.A.
General Practice
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (727) 644-3038
DA MI LEE
Nurse Practitioner (Family)
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (949) 520-1490
ALISHA DEVON SARPONG FNP-C
Nurse Practitioner (Family)
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (951) 840-5769
FRANCES ANN HIZON-SMITH GNP
Nurse Practitioner (Gerontology)
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (949) 642-5513
NATALYA A OLSON FNP
Nurse Practitioner
4695 MACARTHUR CT # 1112A
NEWPORT BEACH, CA 92660
Orange County (084) 446-9226

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 Maryjane Awatin's NPI number?

The NPI number for Maryjane Awatin is 1295200046. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Maryjane Awatin located?

Maryjane Awatin practices at 4695 Macarthur Ct # 1112A, Newport Beach, CA 92660. The listed phone number is (084) 446-9226.

What is Maryjane Awatin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Is Maryjane Awatin enrolled in Medicare?

Yes. Maryjane Awatin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryjane Awatin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryjane Awatin reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Newport Beach, CA). The 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 Maryjane Awatin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryjane Awatin was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.