ILENE CHANG PMHNP - BC
NPI 1316822273
Nurse Practitioner - Psychiatric/Mental Health in Azusa, CA

Q: What is Ilene Chang's NPI number?

The NPI number for Ilene Chang is 1316822273. It was assigned to this individual provider in the NPPES registry on August 9, 2025.

Q: What is Ilene Chang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ilene Chang was last updated on August 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2025PECOS Enrolled

901 E ALOSTA AVE, AZUSA, CA 91702(714) 401-2471 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ilene Chang Pmhnp - Bc NPPES

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

ILENE CHANG PMHNP - BC (NPI 1316822273) is an individual psychiatric/mental health provider in Azusa, California, licensed in California (95033809) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316822273

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameILENE CHANGCredential: PMHNP - BC

Location Address901 E ALOSTA AVEAzusa, CA 91702-2701

Mailing Address901 E Alosta AveAzusa, CA 91702-2701

Phone(714) 401-2471

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 9, 2025

NPPES CertifiedAugust 9, 2025

✔ NPI 1316822273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95033809

901 E ALOSTA AVE, Azusa, CA 91702

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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 (PECOS)

Ilene Chang Pmhnp - Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375013337

PECOS Enrollment IDI20260531000016

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 91702 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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