1. Home
  2. Directory
  3. Indiana
  4. Bloomington
  5. Nurse Practitioner
  6. NPI Profile

MARYAM EGENOLF NP
NPI 1497336176
Nurse Practitioner - Women's Health in Bloomington, IN

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 918-3400(812) 335-7371 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 28, 2022, Aug 15, 2022, Apr 15, 2021 (3 updates tracked since 2021).

About Maryam Egenolf Np NPPES

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

MARYAM EGENOLF NP (NPI 1497336176) is an individual women's health provider in Bloomington, Indiana, licensed in Indiana (71012571A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Astoria.

NPPES Registry Identity

NPI1497336176
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARYAM EGENOLFCredential: NP
Location Address2651 E DISCOVERY PKWYBloomington, IN 47408-9059
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(812) 918-3400
Fax(812) 335-7371
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020
Enumeration DateApril 15, 2021
Last NPPES UpdateOctober 28, 20223 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1497336176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in IN · 71012571A✔ Licensed in NY · F421487-01
2651 E DISCOVERY PKWY, Bloomington, IN 47408
Open in Google Maps ↗

Other Names 1

Other Name (5)Maryam Elghouche

Secondary Practice Location 1

Location 12322 30th Rd Ste 1AAstoria, NY 11102-3238 · Phone (718) 278-0888

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryam Egenolf Np 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 ID8426444662
PECOS Enrollment IDI20220817003820
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 Reassignments

3

Medicare enrollment records show Maryam Egenolf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Southern Indiana Physicians, LLC
Same address
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252
Iu Health Medical Group, LLC
42 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Medical Care For Women, PC
673 mi
Specialist
2322 30TH RD, SUITE #1H
Astoria, NY 11102
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1942475793 (718) 278-0888

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

Hospital Affiliations CMS Care Compare

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47408 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

KIERNAN MCCORMICK
Student in an Organized Health Care Education/Training Program
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 353-5252
DR. JAMES ALEXANDER ISOM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 918-3336
SHERYL ANN KNOTT NP
Clinical Nurse Specialist
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 676-4444
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC
Clinic/Center (Multi-Specialty)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 353-5252
MRS. MEGAN EMILY MCGLOTHLIN NP
Nurse Practitioner (Gerontology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 676-4144
GAVEN ANDREW MOORE PA-C
Physician Assistant
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 334-5081
BERNARD LAMAR HARDY II MD
Internal Medicine
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 676-4102
DR. DAVID AUSTIN DUNCAN DO
Psychiatry & Neurology (Psychiatry)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Monroe County (812) 353-5630

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 Maryam Egenolf's NPI number?

The NPI number for Maryam Egenolf is 1497336176. It was assigned to this individual provider in the NPPES registry on April 15, 2021. The provider is also known as Maryam Elghouche.

Where is Maryam Egenolf located?

Maryam Egenolf practices at 2651 E Discovery Pkwy, Bloomington, IN 47408. The listed phone number is (812) 918-3400.

What is Maryam Egenolf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Maryam Egenolf enrolled in Medicare?

Yes. Maryam Egenolf 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.

Which organizations bill Medicare for Maryam Egenolf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Egenolf reassigns Medicare benefits to 3 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Medical Care For Women, PC (Astoria, NY). Each 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 Maryam Egenolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryam Egenolf accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Maryam Egenolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maryam Egenolf affiliated with any hospitals?

According to CMS data, Maryam Egenolf is affiliated with Indiana University Health Bloomington Hospital.

When was this NPI record last updated?

The NPPES record for Maryam Egenolf was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.