MRS. CARLYN MCLEAN FOSTAKOWSKY R.N., M.S.N., N.P.
NPI 1760754659
Nurse Practitioner - Acute Care in Santa Monica, CA

Q: What is Carlyn Fostakowsky's NPI number?

The NPI number for Carlyn Fostakowsky is 1760754659. It was assigned to this individual provider in the NPPES registry on February 7, 2012. The provider is also known as Carlyn Mclean R.N., M.S.N., N.P..

Q: What is Carlyn Fostakowsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since February 07, 2012PECOS Enrolled

2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404(310) 829-7678(310) 829-6889 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2021, Aug 14, 2020, Jan 10, 2019 (3 updates tracked since 2019).

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About Mrs. Carlyn Mclean Fostakowsky R.n., M.s.n., N.p. NPPES

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

MRS. CARLYN MCLEAN FOSTAKOWSKY R.N., M.S.N., N.P. (NPI 1760754659) is an individual acute care provider in Santa Monica, California, licensed in California (21062) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760754659

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. CARLYN MCLEAN FOSTAKOWSKYCredential: R.N., M.S.N., N.P.

Location Address2001 SANTA MONICA BLVD STE 280WSanta Monica, CA 90404-2172

Mailing Address2001 Santa Monica Blvd, Suite 280wSanta Monica, CA 90404-2102 · (310) 829-7678

Phone(310) 829-7678

Fax(310) 829-6889

Sole ProprietorNo

Enumeration DateFebruary 7, 2012

Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1760754659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 21062

2001 SANTA MONICA BLVD STE 280W, Santa Monica, CA 90404

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Other Names 1

Former Name (1)Carlyn Mclean R.n., M.s.n., N.p.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carlyn Mclean Fostakowsky R.n., M.s.n., N.p. 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 Carlyn Fostakowsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Saint Johns Medical Foundation

0.1 mi

Specialist

2121 SANTA MONICA BLVD
Santa Monica, CA 90404

Reassigned Medicare billing, California enrollment
461 clinicians in this Medicare group

NPI 1770093734 (310) 582-7312

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 90404 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 20

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

DR. CHRISTIANE A. SCHAEFFLER M.D.

Internal Medicine (Cardiovascular Disease)