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

Q: 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.

Q: What is Maryam Beintema's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryam Beintema was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 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: August 16, 2026.

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

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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

Phone(847) 491-8100

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

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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.

ALYSIA L GREEN MD

Family Medicine (Sports Medicine)