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MARA NICOLE HUMBERG NP
NPI 1760089445
Nurse Practitioner - Pediatrics in Lafayette, IN

Active since October 06, 2020PECOS Enrolled
2316 SOUTH ST, LAFAYETTE, IN 47904(765) 742-1567(765) 742-2750 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2022, Aug 9, 2021, Oct 6, 2020 (3 updates tracked since 2020).

About Mara Nicole Humberg Np NPPES

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

MARA NICOLE HUMBERG NP (NPI 1760089445) is an individual pediatrics provider in Lafayette, Indiana, licensed in Indiana (71011419A) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760089445
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARA NICOLE HUMBERGCredential: NP
Location Address2316 SOUTH STLafayette, IN 47904-2971
Mailing Address1716 Hartford StLafayette, IN 47904-2138 · (765) 742-1567 · Fax (765) 429-2700
Phone(765) 742-1567
Fax(765) 742-2750
Sole ProprietorNo
Enumeration DateOctober 6, 2020
Last NPPES UpdateMay 9, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1760089445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IN · 71011419A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28224434A (IN)
2316 SOUTH ST, Lafayette, IN 47904
Open in Google Maps ↗

Other Names 1

Former Name (1)Mara Nicole Lavelle Rn

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Nicole Humberg Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mara Humberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnett Clinic, LLC
1.0 mi
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
NPI 1881655090 (765) 448-8000
Iu Health Medical Group, LLC
57 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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 12

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

DR. LALITHA VALLURI M.D.
Specialist
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
APRIL RAE FIFE FNP-BC
Nurse Practitioner (Family)
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
CASEY FERGER CPNP-PC
Nurse Practitioner (Pediatrics)
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
ROGER BOSLEY M.D.
Obstetrics & Gynecology
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 447-6969
TANYA MARIE NEAL WHNP-BC
Nurse Practitioner (Women's Health)
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
TIFFANY AMBER RICHARDSON WHNP-BC
Nurse Practitioner (Women's Health)
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
SUMA NAGARAJ M.D.
Pediatrics
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567
GEORGIA ANN STEIMAN
Nurse Practitioner (Primary Care)
2316 SOUTH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 742-1567

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 Mara Humberg's NPI number?

The NPI number for Mara Humberg is 1760089445. It was assigned to this individual provider in the NPPES registry on October 6, 2020. The provider is also known as Mara Nicole Lavelle Rn.

Where is Mara Humberg located?

Mara Humberg practices at 2316 South St, Lafayette, IN 47904. The listed phone number is (765) 742-1567.

What is Mara Humberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mara Humberg enrolled in Medicare?

Yes. Mara Humberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mara Humberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Humberg reassigns Medicare benefits to 2 organizations: Arnett Clinic, LLC (Lafayette, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Mara Humberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mara Humberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mara Humberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mara Humberg was last updated on May 9, 2022. 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.