MARYELLEN MORAN BORMETT DO
NPI 1346930922
Student in an Organized Health Care Education/Training Program in Muncie, IN

Q: What is Maryellen Bormett's NPI number?

The NPI number for Maryellen Bormett is 1346930922. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Maryellen Bormett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellen Bormett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 09, 2023PECOS Enrolled

221 N CELIA AVE, MUNCIE, IN 47303(765) 751-3141 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, May 9, 2023 (2 updates tracked since 2023).

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About Maryellen Moran Bormett Do NPPES

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

MARYELLEN MORAN BORMETT DO (NPI 1346930922) is an individual student in an organized health care education/training program in Muncie, Indiana and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346930922

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARYELLEN MORAN BORMETTCredential: DO

Location Address221 N CELIA AVEMuncie, IN 47303-4609

Mailing Address221 N Celia AveMuncie, IN 47303-4609 · (765) 747-3141

Phone(765) 751-3141

Sole ProprietorNo

Enumeration DateMay 9, 2023

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1346930922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

221 N CELIA AVE, Muncie, IN 47303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Moran Bormett Do 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.

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.

ANDREW GERARD

Student in an Organized Health Care Education/Training Program