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MARIE ANTIONETTE MINASSIAN FNP-C
NPI 1154293363
Nurse Practitioner in Glendale, CA

Active since September 18, 2025PECOS Enrolled
800 S CENTRAL AVE STE 307, GLENDALE, CA 91204(818) 646-1414 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Antionette Minassian Fnp-c NPPES

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

MARIE ANTIONETTE MINASSIAN FNP-C (NPI 1154293363) is an individual nurse practitioner in Glendale, California, licensed in California (95037001) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hollywood, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154293363
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARIE ANTIONETTE MINASSIANCredential: FNP-C
Location Address800 S CENTRAL AVE STE 307Glendale, CA 91204-4644
Mailing AddressPo Box 964Montebello, CA 90640-0964 · (310) 497-8986
Phone(818) 646-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1154293363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95037001
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
800 S CENTRAL AVE STE 307, Glendale, CA 91204
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Secondary Practice Location 1

Location 18961 W Sunset BlvdWest Hollywood, CA 90069-1807 · Phone (323) 388-7012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Antionette Minassian Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204307028
PECOS Enrollment IDI20260602004208
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 91204 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTSIDE MENTAL HEALTH GROUP INC
Clinic/Center (Adult Mental Health)
800 S CENTRAL AVE STE 307
GLENDALE, CA 91204
Los Angeles County (818) 396-0917

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 Marie Minassian's NPI number?

The NPI number for Marie Minassian is 1154293363. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Marie Minassian located?

Marie Minassian practices at 800 S Central Ave Ste 307, Glendale, CA 91204. The listed phone number is (818) 646-1414.

What is Marie Minassian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marie Minassian enrolled in Medicare?

Yes. Marie Minassian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie Minassian was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.