MARIELLEN C VAN NIEUWENHUYZEN MD
NPI 1477167526
Family Medicine in Boise, ID

Q: What is Mariellen Van Nieuwenhuyzen's NPI number?

The NPI number for Mariellen Van Nieuwenhuyzen is 1477167526. It was assigned to this individual provider in the NPPES registry on September 5, 2020. The provider is also known as Mariellen Hofland.

Q: What is Mariellen Van Nieuwenhuyzen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 05, 2020PECOS EnrolledAccepts Medicare Assignment

777 N RAYMOND ST, BOISE, ID 83704(208) 514-2500(208) 375-2217 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mariellen C Van Nieuwenhuyzen Md NPPES

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

MARIELLEN C VAN NIEUWENHUYZEN MD (NPI 1477167526) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (MRM-2165) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of California, Davis School Of Medicine (2022).

NPPES Registry Identity

NPI1477167526

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIELLEN C VAN NIEUWENHUYZENCredential: MD

Location Address777 N RAYMOND STBoise, ID 83704-9251

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 514-2500

Fax(208) 375-2217

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2022

Enumeration DateSeptember 5, 2020

Last NPPES UpdateJune 3, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1477167526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · MRM-2165

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 N RAYMOND ST, Boise, ID 83704

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Other Names 1

Former Name (1)Mariellen Hofland

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

Mariellen C Van Nieuwenhuyzen Md 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 ID143600551

PECOS Enrollment IDI20250723002173

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 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Valor Health

Critical Access Hospitals · Emmett, ID

OwnershipGovernment - Local

CMS Certification Number131318

Location1202 East Locust StreetEmmett, ID 83617 · Gem County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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.

TRACY ADAMS DO

Family Medicine