ANUSH PETROSYAN NP
NPI 1245986645
Nurse Practitioner - Family in Glendale, CA

Q: What is Anush Petrosyan's NPI number?

The NPI number for Anush Petrosyan is 1245986645. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Q: What is Anush Petrosyan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anush Petrosyan was last updated on October 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2022PECOS EnrolledAccepts Medicare Assignment

519 E BROADWAY, GLENDALE, CA 91205(818) 409-3020 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 17, 2023, Feb 23, 2022 (2 updates tracked since 2022).

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About Anush Petrosyan Np NPPES

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

ANUSH PETROSYAN NP (NPI 1245986645) is an individual family provider in Glendale, California, licensed in California (95018482) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245986645

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANUSH PETROSYANCredential: NP

Location Address519 E BROADWAYGlendale, CA 91205-1110

Mailing Address519 E BroadwayGlendale, CA 91205-1110 · (184) 093-0208

Phone(818) 409-3020

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 23, 2022

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1245986645 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 · 95018482

519 E BROADWAY, Glendale, CA 91205

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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

Anush Petrosyan 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 ID7517314024

PECOS Enrollment IDI20231106000790

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.

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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