Marianne Himebauch, is a medicare enrolled "Nurse Practitioner - Gerontology" in Wolverine, Michigan. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical and her current practice location is
12748 Shire Rd, Wolverine, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 361-0525.
Marianne Himebauch is licensed to practice in Michigan (license number 4704244906) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336010065.
Provider's Profile
| Full Name | Marianne Himebauch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 12748 Shire Rd, Wolverine, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marianne Himebauch graduated from nursing school in 2025
NPI Data:
- NPI Number: 1336010065
- Provider Enumeration Date: 09/16/2025
- Last Update Date: 04/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456840347
- Enrollment ID: I20251030002774
Medical Identifiers
Medical identifiers for Marianne Himebauch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336010065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | 4704244906 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Theoria Medical | 5395098339 | 364 |
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. Marianne Himebauch 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 |
Marianne Himebauch, 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818 Ph: (906) 361-0525 | Marianne Himebauch, 12748 Shire Rd, Wolverine, MI 49799-9626 Ph: (906) 361-0525 |
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