Elda Petrosyan, FNP
NPI 1396506283ActiveIndividual· Nurse Practitioner, Family· Burbank, CA
Nurse Practitioner, Family (FNP) with Shine Mmg Inc and 1 other group, practicing in Burbank, California. In 2024 Medicare paid $160,858 for 826 patients, and Part D covered 249 of their prescriptions, 76% of them generic.
Overview
| NPI | 1396506283 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2024 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95027679 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 826 |
|---|---|
| Services billed | 2,645 across 8 procedure codes |
| Paid by Medicare | $160,858 |
Part D prescriptions in 2024
| Prescriptions (claims) | 249 · 271 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $21,799 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Shine Mmg IncGlendale, CA · 24 clinicians
- California Mobile Medical Group IncGlendale, CA · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 114 family nurse practitioners in Burbank · All family nurse practitioners in California