CASEY WOLLENBERG RN, FNP
NPI 1174001804
Nurse Practitioner - Family in Los Angeles, CA

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033(323) 442-5100 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2023, Oct 27, 2023, Aug 3, 2018 (3 updates tracked since 2018).

About Casey Wollenberg Rn, Fnp NPPES

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

CASEY WOLLENBERG RN, FNP (NPI 1174001804) is an individual family provider in Los Angeles, California, licensed in California (95009609) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174001804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCASEY WOLLENBERGCredential: RN, FNP
Location Address1520 SAN PABLO ST STE 1000Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
NPI 1174001804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95009609
1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033

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

Casey Wollenberg Rn, 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 ID1557716255
PECOS Enrollment IDI20231016003008
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 90033 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 20

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

Internal Medicine (Cardiovascular Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Hospice and Palliative Medicine)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Nephrology)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Infectious Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Nurse Practitioner
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Infectious Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033

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 Casey Wollenberg's NPI number?

The NPI number for Casey Wollenberg is 1174001804. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Casey Wollenberg located?

Casey Wollenberg practices at 1520 San Pablo St Ste 1000, Los Angeles, CA 90033. The listed phone number is (323) 442-5100.

What is Casey Wollenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Casey Wollenberg enrolled in Medicare?

Yes. Casey Wollenberg 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 Casey Wollenberg was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.