Mariana Isabel Corpus Hines, APRN in Waterford, WI

Mariana Isabel Corpus Hines, APRN is a medicare enrolled "Nurse Practitioner" in Waterford, Wisconsin. Her current practice location is 818 Forest Ln, Waterford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 514-8199.

Mariana Isabel Corpus Hines is licensed to practice in Wisconsin (license number 16422) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730898396.

Contact Information

	Mariana Isabel Corpus Hines, APRN
	818 Forest Ln, Waterford, WI 53185-4585
	(262) 514-8199
	(262) 514-3851

Map and Direction

Provider's Profile

Full Name	Mariana Isabel Corpus Hines
Gender	Female
Speciality	Nurse Practitioner
Location	818 Forest Ln, Waterford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730898396
Provider Enumeration Date: 11/22/2022
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 6305217514
Enrollment ID: I20240426001920

Medical Identifiers

Medical identifiers for Mariana Isabel Corpus Hines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730898396	NPI	-	NPPES
100333585	Medicaid	WI
1730898396	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	16422 (Wisconsin)	Primary
363LF0000X	Nurse Practitioner - Family	11020982 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	5019446 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mariana Isabel Corpus Hines allows following entities to bill medicare on her behalf.

Entity Name	Wake Specialty Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariana Isabel Corpus Hines is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mariana Isabel Corpus Hines, APRN Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Mariana Isabel Corpus Hines, APRN 818 Forest Ln, Waterford, WI 53185-4585 Ph: (262) 514-8199

Reviews and Comments

Nurse Practitioner Nurses in Waterford, WI

Ms. Libby Rumary, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-8199
Shivani A Patel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 800-326-2250
Cathy Jo Duchow-cross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7914 Foxwater Blvd, Waterford, WI 53185 Phone: 414-531-2228
Ms. Terry A Kollenbroich, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700 Fax: 262-514-3867
Kimberley G Van Buren, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Forrest Dr, Waterford, WI 53185 Phone: 262-514-3700
Melissa A Kersten, FNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-8199 Fax: 608-741-3838
Mrs. Beth A Weidman, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Forest Ln, Waterford, WI 53185 Phone: 262-514-3700

Mariana Isabel Corpus Hines, APRN - Medicare Nurse Practitioner in Waterford, WI