MARGO MINISSIAN (ACNP, APRN-BC, MSN,) – Acute Care Nurse Practitioner, NPI 1508088238

MARGO MINISSIAN (ACNP, APRN-BC, MSN,) is a healthcare provider. based in Los angeles, California. specializing in Acute Care Nurse Practitioner. They hold the professional credentials ACNP, APRN-BC, MSN,. They hold a License No. 15841 (CA). The NPI Number for MARGO MINISSIAN (ACNP, APRN-BC, MSN,) is 1508088238

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARGO MINISSIAN (ACNP, APRN-BC, MSN,)
NPI
1508088238
Phone
(310) 423-9977
Address
444 S SAN VICENTE BLVD
Enumeration Date
3 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104235000
Graduation Year
2005 (21 years ago)
PAC ID
1759434137
Group Practice PAC ID
0446169114
Professional Enrollment ID
I20090806000036
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARGO MINISSIAN (ACNP, APRN-BC, MSN,)

  • San Vicente Boulevard, South Carthay, Carthay, Los Angeles, Los Angeles County, California, 90048, United States

    SUITE 600

    LOS ANGELES, CA 900484165

    Phone: (310) 423-9977

    Fax: (310) 423-9681

    Type: Location

  • 1174, Del Rey Avenue, Pasadena Council District 4, Pasadena, Los Angeles County, California, 91107, United States

    PASADENA, CA 911071811

    Phone: (310) 384-0126

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-04-07 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-08-06

PECOS data refreshed: 2026-05-27

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
I20090806000036INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90048)

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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: 0446169114View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryCA
-WA
Nurse PractitionerCA
Physician AssistantCA
Clinical PsychologistCA
Nurse PractitionerCA
N E U R O S U R G E R YOH
Nurse PractitionerCA
General Surgery, Critical Care (Intensivists)CA
Internal MedicineCA

Reviews

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Frequently asked questions

Can I cross-check MARGO MINISSIAN (ACNP, APRN-BC, MSN,) using NPI 1508088238?
NPI 1508088238 belongs to MARGO MINISSIAN (ACNP, APRN-BC, MSN,); compare other details if you need extra assurance.
Would MARGO MINISSIAN (ACNP, APRN-BC, MSN,) appear as active to a payer?
You can treat MARGO MINISSIAN (ACNP, APRN-BC, MSN,) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARGO MINISSIAN (ACNP, APRN-BC, MSN,)?
At a glance, MARGO MINISSIAN (ACNP, APRN-BC, MSN,) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARGO MINISSIAN (ACNP, APRN-BC, MSN,) located near Los Angeles?
MARGO MINISSIAN (ACNP, APRN-BC, MSN,) currently maps to Los Angeles, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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