MRS. MARYAM MODIRROUSTA CNM, NP
NPI 1548514565
Advanced Practice Midwife in Apple Valley, CA

Q: What is Maryam Modirrousta's NPI number?

The NPI number for Maryam Modirrousta is 1548514565. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Q: What is Maryam Modirrousta's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since October 29, 2012PECOS EnrolledAccepts Medicare Assignment

18300 US HIGHWAY 18, APPLE VALLEY, CA 92307(706) 242-2311(760) 946-8875 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Maryam Modirrousta Cnm, Np NPPES

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

MRS. MARYAM MODIRROUSTA CNM, NP (NPI 1548514565) is an individual advanced practice midwife in Apple Valley, California, licensed in California (NMW1949) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1548514565

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. MARYAM MODIRROUSTACredential: CNM, NP

Location Address18300 US HIGHWAY 18Apple Valley, CA 92307-2206

Mailing Address18300 Us Highway 18Apple Valley, CA 92307-2206 · (706) 242-2311 · Fax (760) 946-8875

Phone(706) 242-2311

Fax(760) 946-8875

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 29, 2012

Last NPPES UpdateDecember 8, 2021

✔ NPI 1548514565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in CA · NMW1949

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

18300 US HIGHWAY 18, Apple Valley, CA 92307

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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 and accepts Medicare assignment

Mrs. Maryam Modirrousta Cnm, 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 ID2769704790

PECOS Enrollment IDI20141202002419

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92307 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

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.

ROBERT CRAIG ANDERSON CRNA

Nurse Anesthetist, Certified Registered

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

MELINDA D. LABUGUEN, MD INC.

Pathology (Anatomic Pathology & Clinical Pathology)

18300 US HIGHWAY 18, PATHOLOGY DEPARTMENT
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8873

ASHWIN JAYAKUMAR DO

Student in an Organized Health Care Education/Training Program

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

JONATHAN PORTILLO AGACNP-BC

Nurse Practitioner (Acute Care)

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

NADIA C MIHALJCIC CRNA

Nurse Anesthetist, Certified Registered

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8736

ELIZABETH ESPINOZA

Nurse Practitioner (Family)

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

ASHLEY MARIE RUGGE PA-C

Physician Assistant

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-8150

LORI ASHKINE BSN

Registered Nurse

18300 US HIGHWAY 18
APPLE VALLEY, CA 92307

San Bernardino County (760) 242-2311

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 Modirrousta's NPI number?

The NPI number for Maryam Modirrousta is 1548514565. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Maryam Modirrousta located?

Maryam Modirrousta practices at 18300 Us Highway 18, Apple Valley, CA 92307. The listed phone number is (706) 242-2311.

What is Maryam Modirrousta's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Maryam Modirrousta enrolled in Medicare?

Yes. Maryam Modirrousta 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.

When was this NPI record last updated?

The NPPES record for Maryam Modirrousta was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.