Angie-Kolleen Tan, FNP
NPI 1063961324 · Psychiatric/Mental Health Nurse Practitioner · Pacoima, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Angie-Kolleen Tan, FNP is a Psychiatric/Mental Health Nurse Practitioner provider in Pacoima, CA (NPI 1063961324).
Provider details
- NPI number
- 1063961324
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 775609 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
8,965 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 4,040 | $62 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 3,070 | $52 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 587 | $89 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 276 | $110 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 252 | $137 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Deutetrabenazinebrand: Austedo Xr | 1,054 | 108 |
| Lorazepam | 445 | 118 |
| Divalproex Sodium | 317 | 79 |
| Quetiapine Fumarate | 256 | 57 |
| Pimavanserin Tartratebrand: Nuplazid | 215 | 18 |
| Clonazepam | 166 | 24 |
| Sertraline Hcl | 166 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33,742 across 98 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-28
- Last updated
- 2017-10-17
Frequently asked questions
- What is Angie-Kolleen Tan's NPI number?
- Angie-Kolleen Tan's National Provider Identifier (NPI) is 1063961324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Angie-Kolleen Tan's specialty?
- Angie-Kolleen Tan is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Angie-Kolleen Tan located?
- Angie-Kolleen Tan's practice location on file with NPPES is 9606 Cherry Hill St, Pacoima, CA 91331-1514.
- What is Angie-Kolleen Tan's phone number?
- The practice phone number listed in the NPPES registry for Angie-Kolleen Tan is (323) 620-7412.
- Does Angie-Kolleen Tan accept Medicare?
- Angie-Kolleen Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Angie-Kolleen Tan's NPI active?
- Yes — Angie-Kolleen Tan's NPI (1063961324) is active in the NPPES registry as of the last update on 2017-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.