ILSOOK PARK DAHLIN FNP
NPI 1528899622
Nurse Practitioner - Family in Coarsegold, CA
About Ilsook Park Dahlin Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILSOOK PARK DAHLIN FNP (NPI 1528899622) is an individual family provider in Coarsegold, California, licensed in California (95031582) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ilsook Park Dahlin Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Ilsook Dahlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coarsegold, CA 93614
- Reassigned Medicare billing, California enrollment
- 142 clinicians in this Medicare group
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 93614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ilsook Dahlin's NPI number?
The NPI number for Ilsook Dahlin is 1528899622. It was assigned to this individual provider in the NPPES registry on August 10, 2024.
Where is Ilsook Dahlin located?
Ilsook Dahlin practices at 35463 Highway 41, Coarsegold, CA 93614. The listed phone number is (559) 683-6292.
What is Ilsook Dahlin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ilsook Dahlin enrolled in Medicare?
Yes. Ilsook Dahlin 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.
Which organization bills Medicare for Ilsook Dahlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilsook Dahlin reassigns Medicare benefits to Camarena Health (Coarsegold, 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 Ilsook Dahlin'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 Ilsook Dahlin was last updated on August 10, 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.
# Ilsook Park Dahlin, FNP · NPI 1528899622
Family physician in Coarsegold, California. Individual provider, active in the CMS NPPES registry since August 10, 2024.
## Identity
- **NPI:** 1528899622 (Entity type: Individual)
- **Enumerated:** August 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95031582 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 35463 HIGHWAY 41, Coarsegold, CA 93614-8722
- **Phone:** (559) 683-6292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Camarena Health (NPI 1023513538, Coarsegold, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528899622) · Data from the CMS NPPES public registry.