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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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 is a graduate of University Of Cincinnati College Of Medicine (2020).

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

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Other Names 1

Other Name (5)Maryam Elghouche

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, and ordering and referring status from the CMS PECOS system.

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.

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