MARIANNE HIMEBAUCH
NPI 1336010065
Nurse Practitioner - Gerontology in Wolverine, MI

Active since September 16, 2025PECOS EnrolledAccepts Medicare Assignment
12748 SHIRE RD, WOLVERINE, MI 49799(906) 361-0525 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 11, 2026, Sep 16, 2025 (2 updates tracked since 2025).

About Marianne Himebauch NPPES

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

MARIANNE HIMEBAUCH (NPI 1336010065) is an individual gerontology provider in Wolverine, Michigan, licensed in Michigan (4704244906) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336010065
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARIANNE HIMEBAUCH
Location Address12748 SHIRE RDWolverine, MI 49799-9626
Mailing Address41800 W 11 Mile Rd Ste 109Novi, MI 48375-1818 · (906) 361-0525
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 16, 2025
Last NPPES UpdateApril 11, 20262 updates tracked since enumeration
NPPES CertifiedApril 11, 2026
NPI 1336010065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704244906
12748 SHIRE RD, Wolverine, MI 49799

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marianne Himebauch 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.

PECOS PAC ID1456840347
PECOS Enrollment IDI20251030002774
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49799 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Marianne Himebauch's NPI number?

The NPI number for Marianne Himebauch is 1336010065. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Marianne Himebauch located?

Marianne Himebauch practices at 12748 Shire Rd, Wolverine, MI 49799. The listed phone number is (906) 361-0525.

What is Marianne Himebauch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Marianne Himebauch enrolled in Medicare?

Yes. Marianne Himebauch 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.

Is Marianne Himebauch affiliated with any hospitals?

According to CMS data, Marianne Himebauch is affiliated with Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Marianne Himebauch was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.