MS. MANDY LIN
NPI 1124838099
Nurse Practitioner - Acute Care in Glendale, CA

Q: What is Mandy Lin's NPI number?

The NPI number for Mandy Lin is 1124838099. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Mandy Lin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Lin was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2025PECOS Enrolled

1812 VERDUGO BLVD, GLENDALE, CA 91208(818) 790-7100 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Mandy Lin NPPES

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

MS. MANDY LIN (NPI 1124838099) is an individual acute care provider in Glendale, California, licensed in California (95031048) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124838099

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. MANDY LIN

Location Address1812 VERDUGO BLVDGlendale, CA 91208-1407

Mailing Address1812 Verdugo BlvdGlendale, CA 91208-1407

Phone(818) 790-7100

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 13, 2025

NPPES CertifiedJanuary 10, 2025

✔ NPI 1124838099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95031048

1812 VERDUGO BLVD, Glendale, CA 91208

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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 (PECOS)

Ms. Mandy Lin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608381595

PECOS Enrollment IDI20250710003782

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91208 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.