MARIA KOULARMANIS PA-C
NPI 1437678992
Physician Assistant in Saint Joseph, MI

Q: What is Maria Koularmanis's NPI number?

The NPI number for Maria Koularmanis is 1437678992. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Q: What is Maria Koularmanis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Koularmanis was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 15, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

815 SAINT JOSEPH DR, SAINT JOSEPH, MI 49085(269) 983-3455(269) 983-5920 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2024, Jan 25, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Maria Koularmanis Pa-c NPPES

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

MARIA KOULARMANIS PA-C (NPI 1437678992) is an individual physician assistant in Saint Joseph, Michigan, licensed in Illinois (085.006243) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Sparrow Carson Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2017).

NPPES Registry Identity

NPI1437678992

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIA KOULARMANISCredential: PA-C

Location Address815 SAINT JOSEPH DRSaint Joseph, MI 49085-2529

Mailing Address815 Saint Joseph DrSaint Joseph, MI 49085-2529 · (269) 983-3455 · Fax (269) 983-5920

Phone(269) 983-3455

Fax(269) 983-5920

Sole ProprietorYes

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2017

Enumeration DateSeptember 15, 2017

Last NPPES UpdateApril 16, 20244 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1437678992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085.006243✔ Licensed in MI · 5601009905

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

815 SAINT JOSEPH DR, Saint Joseph, MI 49085

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Maria Koularmanis Pa-c 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 ID8729347232

PECOS Enrollment IDI20210127001475

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services81 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230208

Location406 East Elm StCarson City, MI 48811 · Montcalm County

Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number231326

Location805 S OaklandSaint Johns, MI 48879 · Clinton County

Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231327

Location321 E Harris StreetCharlotte, MI 48813 · Eaton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

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