CHARITY L TAN (N.P.) – Nurse Practitioner, NPI 1669472916

CHARITY L TAN (N.P.) is a healthcare provider. based in Encinitas, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. NP14259 (CA). The NPI Number for CHARITY L TAN (N.P.) is 1669472916

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CHARITY L TAN (N.P.)
NPI
1669472916
Phone
(760) 632-5456
Address
1011 DEVONSHIRE DR
Enumeration Date
28 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169279300
Graduation Year
2003 (23 years ago)
PAC ID
7113904616
Group Practice PAC ID
8527407188
Professional Enrollment ID
I20040701001664
Address ID
CA958257408SA2240XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for CHARITY L TAN (N.P.)

  • 1011, Devonshire Drive, Encinitas, San Diego County, California, 92007, United States

    SUITE E

    ENCINITAS, CA 920245136

    Phone: (760) 632-5456

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Corcept Therapeutics ($119).

Total Amount

$183

General + Research + Ownership

Payments

2

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2004-07-01

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
I20040701001664INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes223104$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5150$0
View full utilization report →

Insurance plans in this area (ZIP 92024)

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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: 8527407188View full group profile
NameSpecialtyState
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference CHARITY L TAN (N.P.)?
For CHARITY L TAN (N.P.), use NPI 1669472916 as the unique 10-digit identifier.
Is CHARITY L TAN (N.P.) still an active registrant?
CHARITY L TAN (N.P.) carries an active NPI according to the public dataset.
How would a patient describe CHARITY L TAN (N.P.)'s focus?
For CHARITY L TAN (N.P.), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CHARITY L TAN (N.P.)?
Directory geography for CHARITY L TAN (N.P.) centers on Encinitas, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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