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EMMA AVETISYAN AGNP
NPI 1114300449
Nurse Practitioner - Adult Health in North Hills, CA

Active since July 06, 2015PECOS Enrolled
9627 WOODLEY AVE, NORTH HILLS, CA 91343(323) 420-9515 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emma Avetisyan Agnp NPPES

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

EMMA AVETISYAN AGNP (NPI 1114300449) is an individual adult health provider in North Hills, California, licensed in California (95002250) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114300449
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameEMMA AVETISYANCredential: AGNP
Location Address9627 WOODLEY AVENorth Hills, CA 91343-1903
Mailing Address9627 Woodley AveNorth Hills, CA 91343-1903 · (323) 420-9515
Phone(323) 420-9515
Sole ProprietorNo
Enumeration DateJuly 6, 2015
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1114300449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95002250
9627 WOODLEY AVE, North Hills, CA 91343
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Avetisyan Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emma Avetisyan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ramesh Arora Medical Corp.
4.5 mi
Interventional Cardiology
14411 HAMLIN ST
Van Nuys, CA 91401
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1144273095 (818) 994-0616
Carepath Medical Group Inc
15 mi
Primary Care
401 N BRAND BLVD STE 814
Glendale, CA 91203
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1851085948 (747) 297-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91343 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.

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 Emma Avetisyan's NPI number?

The NPI number for Emma Avetisyan is 1114300449. It was assigned to this individual provider in the NPPES registry on July 6, 2015.

Where is Emma Avetisyan located?

Emma Avetisyan practices at 9627 Woodley Ave, North Hills, CA 91343. The listed phone number is (323) 420-9515.

What is Emma Avetisyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Emma Avetisyan enrolled in Medicare?

Yes. Emma Avetisyan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emma Avetisyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Avetisyan reassigns Medicare benefits to 2 organizations: Ramesh Arora Medical Corp. (Van Nuys, CA) and Carepath Medical Group Inc (Glendale, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Avetisyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emma Avetisyan was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.