CAROLIN K. MARZOUK (N.P.) – Family Nurse Practitioner, NPI 1336196591

CAROLIN K. MARZOUK (N.P.) is a healthcare provider. based in Goshen, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 28200111A (IN). The NPI Number for CAROLIN K. MARZOUK (N.P.) is 1336196591

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CAROLIN K. MARZOUK (N.P.)
NPI
1336196591
Phone
(574) 534-3300
Address
213 MIDDLEBURY ST
Enumeration Date
31 May 2006
Last Update Date
31 December 2020

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8048289000
Graduation Year
2005 (21 years ago)
PAC ID
6103838875
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20211123001297
Address ID
VA232985024RI417XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
cmarzouk299541@direct.ochin.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

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Provider Addresses for CAROLIN K. MARZOUK (N.P.)

  • 213, Middlebury Street, Chamberlain, Goshen, Elkhart County, Indiana, 46528, United States

    GOSHEN, IN 465282956

    Phone: (574) 534-3300

    Fax: (574) 534-5412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $293.

Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Abbott Laboratories ($143).

Total Amount

$293

General + Research + Ownership

Payments

3

Total payment records

General Amount

$293

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211123001297INurse PractitionerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes444213$0
View full utilization report →

Insurance plans in this area (ZIP 46528)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
Nurse PractitionerVA
Orthopedic SurgeryVA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Nurse PractitionerVA
Qualified AudiologistVA
Radiation OncologyVA
O T O L A R Y N G O L O G YVA

Reviews

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Frequently asked questions

What is the registry number for CAROLIN K. MARZOUK (N.P.)?
The registry entry for CAROLIN K. MARZOUK (N.P.) shows NPI 1336196591.
Quick check: is CAROLIN K. MARZOUK (N.P.) active?
Public NPPES data shows CAROLIN K. MARZOUK (N.P.) with an active NPI status right now.
What type of care does CAROLIN K. MARZOUK (N.P.) provide?
CAROLIN K. MARZOUK (N.P.)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to CAROLIN K. MARZOUK (N.P.)?
The directory associates CAROLIN K. MARZOUK (N.P.) with Goshen, Indiana. Check all listed addresses for suites or satellite offices.
Why is information missing for CAROLIN K. MARZOUK (N.P.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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