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MS. MARJORIE M. CHAN NP
NPI 1174811624
Nurse Practitioner in Costa Mesa, CA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626(888) 789-9585(562) 803-4500 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Apr 13, 2020 (2 updates tracked since 2020).

About Ms. Marjorie M. Chan Np NPPES

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

MS. MARJORIE M. CHAN NP (NPI 1174811624) is an individual nurse practitioner in Costa Mesa, California, licensed in California (20829) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174811624
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARJORIE M. CHANCredential: NP
Location Address3090 BRISTOL ST STE 200Costa Mesa, CA 92626-3061
Mailing Address3090 Bristol St Ste 200Costa Mesa, CA 92626-3061 · (714) 619-8777 · Fax (714) 619-8770
Phone(888) 789-9585
Fax(562) 803-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 19, 2011
Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1174811624 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 · 20829
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.
3090 BRISTOL ST STE 200, Costa Mesa, CA 92626
Open in Google Maps ↗

Other Names 1

Former Name (1)Marjorie S. Manzanilla Np

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

Ms. Marjorie M. Chan Np 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 ID648431932
PECOS Enrollment IDI20120412000749
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 5

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 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.
1,145 services232 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.
315 services99 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
40 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
26 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92626 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.

DR. SHELLEY H HAN M.D.
Internal Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
SOWMYA KRISHNAN NP
Nurse Practitioner (Gerontology)
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
ORLANDO A COLLADO JR. MD
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CPA HEALTH GROUP INC.
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CARE PARTNERS OHIO MEDICAL CORPORATION
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
GN MEDICAL ASSOCIATES, INC.
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CPA PROVIDER GROUP INC.
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585
CARECONNECTMD CA PC
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Orange County (888) 789-9585

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 Marjorie Chan's NPI number?

The NPI number for Marjorie Chan is 1174811624. It was assigned to this individual provider in the NPPES registry on July 19, 2011. The provider is also known as Marjorie S. Manzanilla Np.

Where is Marjorie Chan located?

Marjorie Chan practices at 3090 Bristol St Ste 200, Costa Mesa, CA 92626. The listed phone number is (888) 789-9585.

What is Marjorie Chan's specialty?

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

Is Marjorie Chan enrolled in Medicare?

Yes. Marjorie Chan 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 Marjorie Chan was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.