MARYAM MICHELLE BEINTEMA PA-C
NPI 1912525932
Physician Assistant in Evanston, IL

Active since July 07, 2020PECOS Enrolled
633 EMERSON ST, EVANSTON, IL 60208(847) 491-8100(847) 491-5919 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, Jul 7, 2020 (2 updates tracked since 2020).

About Maryam Michelle Beintema Pa-c NPPES

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

MARYAM MICHELLE BEINTEMA PA-C (NPI 1912525932) is an individual physician assistant in Evanston, Illinois, licensed in Illinois (085008470) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912525932
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYAM MICHELLE BEINTEMACredential: PA-C
Location Address633 EMERSON STEvanston, IL 60208-0844
Mailing Address633 Emerson StEvanston, IL 60208-0844 · (847) 491-8100 · Fax (847) 491-5919
Fax(847) 491-5919
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 7, 2020
Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
NPI 1912525932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085008470
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

633 EMERSON ST, Evanston, IL 60208

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maryam Michelle Beintema Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476935941
PECOS Enrollment IDI20250729004137
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 60208 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Family Medicine (Sports Medicine)
633 EMERSON ST
EVANSTON, IL 60208
Internal Medicine
633 EMERSON ST
EVANSTON, IL 60208
Specialist/Technologist (Athletic Trainer)
633 EMERSON ST
EVANSTON, IL 60208
Psychiatry & Neurology (Psychiatry)
633 EMERSON ST
EVANSTON, IL 60208
Internal Medicine
633 EMERSON ST
EVANSTON, IL 60208
Family Medicine (Sports Medicine)
633 EMERSON ST
EVANSTON, IL 60208
Nurse Practitioner
633 EMERSON ST
EVANSTON, IL 60208
Internal Medicine
633 EMERSON ST
EVANSTON, IL 60208

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 Beintema's NPI number?

The NPI number for Maryam Beintema is 1912525932. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Maryam Beintema located?

Maryam Beintema practices at 633 Emerson St, Evanston, IL 60208. The listed phone number is (847) 491-8100.

What is Maryam Beintema's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maryam Beintema enrolled in Medicare?

Yes. Maryam Beintema is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Beintema was last updated on August 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.