Maryellen Moran Bormett, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

221 N Celia Ave
Muncie, IN 47303-4609

Phone

(765) 751-3141

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346930922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-747-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-751-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMETT",
        "first_name": "MARYELLEN",
        "middle_name": "MORAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Bond, APRN, CNS-BC
• Denise Booher, PTA
• Meghan Bookout
• Thomas Boone, MD
• Ritu Bordia, MD
• Susan Elaine Borregard, P.A.
• Grace Elizabeth Borton, DO
• Megan Janee Bose
• Brady Bosley, NP
• Jaime Lynn Bost

• Student in an Organized Health Care Education/Training Program in Muncie, IN
• Providers in Muncie, IN by specialty
• Student in an Organized Health Care Education/Training Program in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.