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HEATHER NICOLE MANGRUM FNP-C
NPI 1013226026
Nurse Practitioner in Dickson, TN

Active since September 26, 2010PECOS Enrolled
125 CRESTVIEW PARK DR STE 2, DICKSON, TN 37055(615) 740-5233(615) 740-5226 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Nicole Mangrum Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER NICOLE MANGRUM FNP-C (NPI 1013226026) is an individual nurse practitioner in Dickson, Tennessee, licensed in Tennessee (15204) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1013226026
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER NICOLE MANGRUMCredential: FNP-C
Location Address125 CRESTVIEW PARK DR STE 2Dickson, TN 37055-2853
Mailing Address125 Crestview Park Dr Ste 2Dickson, TN 37055-2853 · (615) 740-5233 · Fax (615) 740-5226
Phone(615) 740-5233
Fax(615) 740-5226
Sole ProprietorNo
Enumeration DateSeptember 26, 2010
Last NPPES UpdateApril 9, 2018
✔ NPI 1013226026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 15204
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
125 CRESTVIEW PARK DR STE 2, Dickson, TN 37055
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Other Names 1

Former Name (1)Heather Mangrum Fnp-c

Secondary Practice Location 1

Location 13443 Dickerson Pike Ste 320Nashville, TN 37207-2523 · Phone (615) 988-9787 · Fax (615) 988-9797

Other Identifiers 1

Medicaid1530456TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Nicole Mangrum Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES M ROTH M.D.
Otolaryngology
125 CRESTVIEW PARK DR STE 2
DICKSON, TN 37055
Dickson County (615) 740-5233
MRS. LACEY KATHLEEN THOMPSON PA-C
Physician Assistant
125 CRESTVIEW PARK DR STE 2
DICKSON, TN 37055
Dickson County (615) 446-1370
DR. HOWARD MARC HAMMER D.O.
Otolaryngology (Plastic Surgery within the Head & Neck)
125 CRESTVIEW PARK DR STE 2
DICKSON, TN 37055
Dickson County (615) 446-1370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Mangrum's NPI number?

The NPI number for Heather Mangrum is 1013226026. It was assigned to this individual provider in the NPPES registry on September 26, 2010. The provider is also known as Heather Mangrum Fnp-C.

Where is Heather Mangrum located?

Heather Mangrum practices at 125 Crestview Park Dr Ste 2, Dickson, TN 37055. The listed phone number is (615) 740-5233.

What is Heather Mangrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Heather Mangrum enrolled in Medicare?

Yes. Heather Mangrum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Mangrum was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.