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TARAROTH PEN KEO
NPI 1205689783
Nurse Practitioner - Family in Lancaster, CA

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
43932 15TH ST W STE 103, LANCASTER, CA 93534(661) 945-7755 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tararoth Pen Keo NPPES

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

TARAROTH PEN KEO (NPI 1205689783) is an individual family provider in Lancaster, California, licensed in California (95029648) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205689783
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARAROTH PEN KEO
Location Address43932 15TH ST W STE 103Lancaster, CA 93534-5234
Mailing Address1134 Brianna AveLancaster, CA 93535-2931 · (661) 902-3369
Phone(661) 945-7755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1205689783 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 · 95029648
43932 15TH ST W STE 103, Lancaster, CA 93534
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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

Tararoth Pen Keo 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 ID1850816927
PECOS Enrollment IDI20250422000831
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 93534 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.

MRS. DENIKA CHACON LCSW 86269
Social Worker (Clinical)
43932 15TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 945-7755

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 Tararoth Keo's NPI number?

The NPI number for Tararoth Keo is 1205689783. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Tararoth Keo located?

Tararoth Keo practices at 43932 15th St W Ste 103, Lancaster, CA 93534. The listed phone number is (661) 945-7755.

What is Tararoth Keo's specialty?

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

Is Tararoth Keo enrolled in Medicare?

Yes. Tararoth Keo 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 Tararoth Keo was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.