1. Home
  2. Directory
  3. California
  4. Van Nuys
  5. Nurse Practitioner
  6. NPI Profile

POLLY LIN NP
NPI 1467175349
Nurse Practitioner - Family in Van Nuys, CA

Active since September 26, 2022PECOS Enrolled
15211 VANOWEN ST STE 300, VAN NUYS, CA 91405(818) 782-4104(818) 475-1823 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2023, Sep 26, 2022 (2 updates tracked since 2022).

About Polly Lin Np NPPES

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

POLLY LIN NP (NPI 1467175349) is an individual family provider in Van Nuys, California, licensed in California (95021100) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467175349
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOLLY LINCredential: NP
Location Address15211 VANOWEN ST STE 300Van Nuys, CA 91405-3617
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 794-1363 · Fax (323) 488-9782
Phone(818) 782-4104
Fax(818) 475-1823
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1467175349 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 · 95021100
15211 VANOWEN ST STE 300, Van Nuys, CA 91405
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polly Lin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Polly Lin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles Hematology-Oncology Medical Group
13 mi
Hematology & Oncology
222 W EULALIA ST, SUITE 100C
Glendale, CA 91204
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1386859122 (818) 553-8160

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91405 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 4

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

LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Non-Pharmacy Dispensing Site
15211 VANOWEN ST STE 300
VAN NUYS, CA 91405
Los Angeles County (323) 910-4060
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
15211 VANOWEN ST STE 300
VAN NUYS, CA 91405
Los Angeles County (818) 782-4104
JOTIKA P. THOMPSON M.D.
Internal Medicine (Hematology & Oncology)
15211 VANOWEN ST STE 300
VAN NUYS, CA 91405
Los Angeles County (818) 574-3798
SHEILA VASAN M.D.
Internal Medicine (Hematology & Oncology)
15211 VANOWEN ST STE 300
VAN NUYS, CA 91405
Los Angeles County (818) 782-4104

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 Polly Lin's NPI number?

The NPI number for Polly Lin is 1467175349. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Polly Lin located?

Polly Lin practices at 15211 Vanowen St Ste 300, Van Nuys, CA 91405. The listed phone number is (818) 782-4104.

What is Polly Lin's specialty?

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

Is Polly Lin enrolled in Medicare?

Yes. Polly Lin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Polly Lin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polly Lin reassigns Medicare benefits to Los Angeles Hematology-Oncology Medical Group (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Polly Lin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Polly Lin was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.