MISS CHANTHOL PEN FNP
NPI 1649509134
Nurse Practitioner - Family in Lancaster, CA
About Miss Chanthol Pen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS CHANTHOL PEN FNP (NPI 1649509134) is an individual family provider in Lancaster, California, licensed in California (20656) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
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
Miss Chanthol Pen 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 Chanthol Pen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palmdale, CA 93552
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1366453045 (California)
- 1,939 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Chanthol Pen's NPI number?
The NPI number for Chanthol Pen is 1649509134. It was assigned to this individual provider in the NPPES registry on December 14, 2009.
Where is Chanthol Pen located?
Chanthol Pen practices at 822 East Avenue K, Lancaster, CA 93535. The listed phone number is (661) 579-9760.
What is Chanthol Pen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chanthol Pen enrolled in Medicare?
Yes. Chanthol Pen 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 Chanthol Pen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanthol Pen reassigns Medicare benefits to County Of Los Angeles (Palmdale, 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 Chanthol Pen'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 Chanthol Pen was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Miss Chanthol Pen, FNP · NPI 1649509134
Family physician in Lancaster, California. Individual provider, active in the CMS NPPES registry since December 14, 2009.
## Identity
- **NPI:** 1649509134 (Entity type: Individual)
- **Enumerated:** December 14, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20656 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 822 EAST AVENUE K, Lancaster, CA 93535-5938
- **Phone:** (661) 579-9760 · **Fax:** (661) 579-9765
## 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:** County Of Los Angeles (NPI 1730191628, Palmdale, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 28, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1649509134) · Data from the CMS NPPES public registry.