DR. INEKE MARIA OLSTHOORN (PHD) – Clinical Neuropsychologist, NPI 1497373955

DR. INEKE MARIA OLSTHOORN (PHD) is a healthcare provider. based in Shenandoah, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 39320 (TX). The NPI Number for DR. INEKE MARIA OLSTHOORN (PHD) is 1497373955

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. INEKE MARIA OLSTHOORN (PHD)
NPI
1497373955
Phone
(936) 270-3900
Address
17189 INTERSTATE 45 S STE 675
Enumeration Date
10 July 2020
Last Update Date
5 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7133639411
Graduation Year
2023 (3 years ago)
PAC ID
9537516034
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20231106000338
Address ID
TX774014505BE4710XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. INEKE MARIA OLSTHOORN (PHD)

  • 17189 INTERSTATE 45 S STE 675

    SHENANDOAH, TX 773853320

    Phone: (936) 270-3900

    Fax: (936) 271-1584

    Type: Mailing

  • 4 ALLEGHENY CTR FL 8

    PITTSBURGH, PA 152125255

    Phone: (949) 463-6107

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-06

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
I20231106000338IClinical PsychologistTXTBD

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
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes11123$0
96133Evaluation of neuropsychological test, each additional hour6823$0
96132Evaluation of neuropsychological test, first hour3324$0
96116Exam of neurobehavioral status, first hour2323$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 77385)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
Medical Oncology, HematologyTX
Internal MedicineTX
General SurgeryNY
G A S T R O E N T E R O L O G YLA
Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check DR. INEKE MARIA OLSTHOORN (PHD) using NPI 1497373955?
NPI 1497373955 belongs to DR. INEKE MARIA OLSTHOORN (PHD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. INEKE MARIA OLSTHOORN (PHD)?
You should see DR. INEKE MARIA OLSTHOORN (PHD) as active in CMS-hosted NPPES data.
How would a patient describe DR. INEKE MARIA OLSTHOORN (PHD)'s focus?
For DR. INEKE MARIA OLSTHOORN (PHD), the primary taxonomy reads as Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is DR. INEKE MARIA OLSTHOORN (PHD) associated with Shenandoah?
Public fields place DR. INEKE MARIA OLSTHOORN (PHD) around Shenandoah, Texas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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