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ANGIE-KOLLEEN SANDICO TAN FNP
NPI 1063961324
Nurse Practitioner - Psychiatric/Mental Health in Pacoima, CA

Active since September 28, 2016PECOS EnrolledAccepts Medicare Assignment
4.41/100
CMS Quality Rating
9606 CHERRY HILL ST, PACOIMA, CA 91331(323) 620-7412 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2017, Sep 28, 2016 (2 updates tracked since 2016).

About Angie-kolleen Sandico Tan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE-KOLLEEN SANDICO TAN FNP (NPI 1063961324) is an individual psychiatric/mental health provider in Pacoima, California, licensed in California (NP95006893) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063961324
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANGIE-KOLLEEN SANDICO TANCredential: FNP
Location Address9606 CHERRY HILL STPacoima, CA 91331-1514
Mailing Address9606 Cherry Hill StPacoima, CA 91331-1514 · (323) 620-7412
Phone(323) 620-7412
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 28, 2016
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
✔ NPI 1063961324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95006893
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 775609 (CA)
9606 CHERRY HILL ST, Pacoima, CA 91331
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angie-kolleen Sandico Tan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830455005
PECOS Enrollment IDI20171106000676
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
4,040 services850 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
3,070 services1,168 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
587 services388 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
276 services272 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
252 services237 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
246 services244 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

4.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost14.73

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie-kolleen Tan's NPI number?

The NPI number for Angie-kolleen Tan is 1063961324. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Angie-kolleen Tan located?

Angie-kolleen Tan practices at 9606 Cherry Hill St, Pacoima, CA 91331. The listed phone number is (323) 620-7412.

What is Angie-kolleen Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Angie-kolleen Tan enrolled in Medicare?

Yes. Angie-kolleen Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angie-kolleen Tan was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.