MR. ASEN S RANGUELOV (ACNP) – Acute Care Nurse Practitioner, NPI 1386917573

MR. ASEN S RANGUELOV (ACNP) is a healthcare provider. based in Valley village, California. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 538804 (CA). The NPI Number for MR. ASEN S RANGUELOV (ACNP) is 1386917573

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. ASEN S RANGUELOV (ACNP)
NPI
1386917573
Phone
(818) 470-4743
Address
11818 RIVERSIDE DR
Enumeration Date
17 February 2012
Last Update Date
31 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3109630365
Graduation Year
2011 (15 years ago)
PAC ID
3476717737
Group Practice PAC ID
7416386800
Professional Enrollment ID
I20120618000237
Address ID
CA902322626CU9640XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. ASEN S RANGUELOV (ACNP)

  • 11818 RIVERSIDE DR

    APT 221

    VALLEY VILLAGE, CA 916074077

    Phone: (818) 470-4743

    Type: Location

  • 4955 VAN NUYS BLVD

    STE 411

    SHERMAN OAKS, CA 914031801

    Phone: (818) 784-1195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-05-13 • Largest payer in this snapshot: Lilly USA, LLC ($54).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120618000237INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,38476$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes8650$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes3426$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3228$0
View full utilization report →

Insurance plans in this area (ZIP 91607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416386800View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Internal MedicineNY
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Internal MedicineCA

Reviews

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Frequently asked questions

Does MR. ASEN S RANGUELOV (ACNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. ASEN S RANGUELOV (ACNP) uses 1386917573.
Is MR. ASEN S RANGUELOV (ACNP) listed as active for patients and plans?
The listing shows MR. ASEN S RANGUELOV (ACNP) as active in the NPI system.
What is MR. ASEN S RANGUELOV (ACNP)'s specialty?
The listing groups MR. ASEN S RANGUELOV (ACNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. ASEN S RANGUELOV (ACNP) list a practice location?
Patients near Valley Village, California may find MR. ASEN S RANGUELOV (ACNP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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