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EMILY TANG NP
NPI 1497141832
Nurse Practitioner - Pediatrics in Lakeport, CA

Active since April 13, 2015PECOS Enrolled
359 LAKEPORT BLVD, LAKEPORT, CA 95453(707) 263-8383(707) 263-5019 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Emily Tang Np NPPES

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

EMILY TANG NP (NPI 1497141832) is an individual pediatrics provider in Lakeport, California, licensed in California (95001591) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clearlake.

NPPES Registry Identity

NPI1497141832
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEMILY TANGCredential: NP
Location Address359 LAKEPORT BLVDLakeport, CA 95453-5412
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8383 · Fax (707) 263-5019
Phone(707) 263-8383
Fax(707) 263-5019
Sole ProprietorNo
Enumeration DateApril 13, 2015
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1497141832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95001591
359 LAKEPORT BLVD, Lakeport, CA 95453
Open in Google Maps ↗

Secondary Practice Location 1

Location 114440 Olympic DriveClearlake, CA 95422-8809 · Phone (707) 263-8383 · Fax (707) 263-5019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Tang 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 Emily Tang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake County Tribal Health Consortium Inc.
0.3 mi
Federally Qualified Health Center (FQHC)
925 BEVINS CT
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1881697381 (707) 263-8382

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 95453 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 5

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

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 533-2700
MARLENE QUILALA MD
Pediatrics
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 533-2740
FLORENCIA KARINA MIRANDA CHUMPITAZ NP
Nurse Practitioner (Family)
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 513-6002
KATIA ZOGG RD
Dietitian, Registered
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 533-2740
SHAUNA ROGERS
Health Educator
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 263-8382

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 Emily Tang's NPI number?

The NPI number for Emily Tang is 1497141832. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Emily Tang located?

Emily Tang practices at 359 Lakeport Blvd, Lakeport, CA 95453. The listed phone number is (707) 263-8383.

What is Emily Tang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Emily Tang enrolled in Medicare?

Yes. Emily Tang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Tang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Tang reassigns Medicare benefits to Lake County Tribal Health Consortium Inc. (Lakeport, 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 Emily Tang'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 Emily Tang was last updated on September 26, 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.