MARYLOUISE DEAVEN CRNP
NPI 1659965408
Nurse Practitioner - Family in Lebanon, PA
About Marylouise Deaven Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYLOUISE DEAVEN CRNP (NPI 1659965408) is an individual family provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP023311) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Other (2020).
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
Marylouise Deaven 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 Marylouise Deaven reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, PA 17046
- Reassigned Medicare billing, Pennsylvania enrollment
- 94 clinicians in this Medicare group
Allison Park, PA 15101
- Reassigned Medicare billing, Pennsylvania enrollment
- 190 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.
Wellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, PA 17046
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 Marylouise Deaven's NPI number?
The NPI number for Marylouise Deaven is 1659965408. It was assigned to this individual provider in the NPPES registry on February 23, 2021.
Where is Marylouise Deaven located?
Marylouise Deaven practices at 920 Church St, Lebanon, PA 17046. The listed phone number is (717) 272-2700.
What is Marylouise Deaven's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marylouise Deaven enrolled in Medicare?
Yes. Marylouise Deaven 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 Marylouise Deaven's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marylouise Deaven reassigns Medicare benefits to 2 organizations: Union Community Care (Lebanon, PA) and Ucmg LLC (Allison Park, 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 Marylouise Deaven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marylouise Deaven affiliated with any hospitals?
According to CMS data, Marylouise Deaven is affiliated with Wellspan Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Marylouise Deaven was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Marylouise Deaven, CRNP · NPI 1659965408
Family physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 23, 2021.
## Identity
- **NPI:** 1659965408 (Entity type: Individual)
- **Enumerated:** February 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP023311 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 CHURCH ST, Lebanon, PA 17046-4656
- **Phone:** (717) 272-2700
## 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): Union Community Care (NPI 1841785607, Lebanon, PA); Ucmg LLC (NPI 1972300622, Allison Park, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1659965408) · Data from the CMS NPPES public registry.