MARYA MEI BOLYANATZ (FNP) – Family Nurse Practitioner, NPI 1164415501
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for MARYA MEI BOLYANATZ (FNP)
117, West Bunny Avenue, North Santa Maria, Santa Maria, Santa Barbara County, California, 93458, United States
SANTA MARIA, CA 934582805
Phone: (805) 543-4043
Fax: (805) 543-7640
Type: Mailing
1250, Peach Street, Mill Street District, San Luis Obispo, San Luis Obispo County, California, 93410, United States
SUITE A
SAN LUIS OBISPO, CA 934012837
Phone: (805) 543-4043
Fax: (805) 543-7640
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $5,051.
Total Amount is formed as General ($5,051) + Research ($0) + Ownership ($0) = $5,051.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Insulet Corporation ($4,574).
Total Amount
$5,051
General + Research + Ownership
Payments
25
Total payment records
General Amount
$5,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Insulet Corporation | $4,574 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $125 |
| Phathom Pharmaceuticals, Inc. | $125 |
| Ascensia Diabetes Care Us Inc. | $112 |
| Novo Nordisk Inc | $88 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130426000281 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 327 | 285 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 244 | 244 | $0 |
| 81003 | Automated urinalysis test | 81 | 74 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 61 | 61 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 42 | 21 | $0 |
Insurance plans in this area (ZIP 93458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CA | 90670 | Pneumococcal vaccine for injection into muscle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA |
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