AGNES TAN NP
NPI 1205384823
Nurse Practitioner - Adult Health in Long Beach, CA

Q: What is Agnes Tan's NPI number?

The NPI number for Agnes Tan is 1205384823. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Q: What is Agnes Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Agnes Tan was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2016PECOS EnrolledAccepts Medicare Assignment

2699 ATLANTIC AVE, LONG BEACH, CA 90806(562) 988-7383 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2021, Sep 12, 2016 (2 updates tracked since 2016).

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About Agnes Tan Np NPPES

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

AGNES TAN NP (NPI 1205384823) is an individual adult health provider in Long Beach, California, licensed in California (95004938) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205384823

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAGNES TANCredential: NP

Location Address2699 ATLANTIC AVELong Beach, CA 90806-2710

Mailing Address2699 Atlantic AveLong Beach, CA 90806-2710

Phone(562) 988-7383

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 12, 2016

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

✔ NPI 1205384823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 95004938

2699 ATLANTIC AVE, Long Beach, CA 90806

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Other Identifiers 1

Other95004938CA · Nurse Practitioner License

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

Agnes Tan 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 ID7618254210

PECOS Enrollment IDI20170509001814

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 90806 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. SABRINA ANN HARPER MD

Internal Medicine