MARYLOUISE DEAVEN CRNP
NPI 1659965408
Nurse Practitioner - Family in Lebanon, PA

Q: 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.

Q: What is Marylouise Deaven's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since February 23, 2021PECOS Enrolled

920 CHURCH ST, LEBANON, PA 17046(717) 272-2700 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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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.

NPPES Registry Identity

NPI1659965408

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARYLOUISE DEAVENCredential: CRNP

Location Address920 CHURCH STLebanon, PA 17046-4656

Mailing Address304 N Water StLancaster, PA 17603-3374 · (717) 299-6371

Phone(717) 272-2700

Sole ProprietorNo

Enumeration DateFebruary 23, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1659965408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP023311

920 CHURCH ST, Lebanon, PA 17046

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marylouise Deaven Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN DAVID SANGER CRNP

Nurse Practitioner (Family)