AILEEN AMBARTSUMYAN FNP - NPI 1194405787 - Nurse Practitioner in Glendale, CA

Q: What is Aileen Ambartsumyan's NPI number?

The NPI number for Aileen Ambartsumyan is 1194405787. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Q: What is Aileen Ambartsumyan's specialty?

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

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About Aileen Ambartsumyan Fnp NPPES

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

AILEEN AMBARTSUMYAN FNP (NPI 1194405787) is an individual family provider in Glendale, California, licensed in California (95027985) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194405787

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAILEEN AMBARTSUMYANCredential: FNP

Location Address519 E BROADWAYGlendale, CA 91205-1110

Mailing Address1401 Valley View Rd Apt 109Glendale, CA 91202-4408 · (818) 275-7755

Phone(818) 409-3020

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 19, 2023

Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1194405787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95027985

Also ListedRegistered NurseTaxonomy 163W00000X · License 95169219 (CA)

519 E BROADWAY, Glendale, CA 91205

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Secondary Practice Location 1

Location 11401 Valley View Rd Apt 109Glendale, CA 91202-4408 · Phone (818) 275-7755

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

Aileen Ambartsumyan 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 ID9133501901

PECOS Enrollment IDI20241120000090

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 91205 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 12

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

NAIRA SARGSYAN

Family Medicine