ELIZABETH MAULK MARANDOLA CRNP
NPI 1578727285
Nurse Practitioner - Acute Care in Philadelphia, PA
About Elizabeth Maulk Marandola Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH MAULK MARANDOLA CRNP (NPI 1578727285) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP009863) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Johns Hopkins University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
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
Elizabeth Maulk Marandola Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elizabeth Marandola reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1073902169 (Pennsylvania)
- 752 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 26 clinicians in this Medicare group
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.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Elizabeth Marandola's NPI number?
The NPI number for Elizabeth Marandola is 1578727285. It was assigned to this individual provider in the NPPES registry on July 11, 2008.
Where is Elizabeth Marandola located?
Elizabeth Marandola practices at 3400 Spruce St 1 Ravdin, Philadelphia, PA 19104. The listed phone number is (215) 662-6698.
What is Elizabeth Marandola's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Elizabeth Marandola enrolled in Medicare?
Yes. Elizabeth Marandola 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 Elizabeth Marandola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Marandola reassigns Medicare benefits to 2 organizations: University Of Penn - Medical Group (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA). 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 Elizabeth Marandola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elizabeth Marandola affiliated with any hospitals?
According to CMS data, Elizabeth Marandola is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Elizabeth Marandola was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Elizabeth Maulk Marandola, CRNP · NPI 1578727285
Acute Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 11, 2008.
## Identity
- **NPI:** 1578727285 (Entity type: Individual)
- **Enumerated:** July 11, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP009863 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 1 RAVDIN, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-6698
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Penn - Medical Group (NPI 1053447151, Philadelphia, PA); Clinical Health Care Associates Of New Jersey, PC (NPI 1902844806, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** February 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578727285) · Data from the CMS NPPES public registry.