KATHERINE MANGE
NPI 1013351758
Nurse Practitioner - Adult Health in Birmingham, AL

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2023, Oct 25, 2022 (2 updates tracked since 2022).

About Katherine Mange NPPES

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

KATHERINE MANGE (NPI 1013351758) is an individual adult health provider in Birmingham, Alabama, licensed in Alabama (1-085113) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1013351758
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHERINE MANGE
Location Address619 19TH ST SBirmingham, AL 35249-1801
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9050 · Fax (205) 731-9789
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 24, 2013
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1013351758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in AL · 1-085113
619 19TH ST S, Birmingham, AL 35249

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 934-1432 · Fax (205) 975-7546

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katherine Mange is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597902726
PECOS Enrollment IDI20210330000697
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 35249 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 20

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

Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Dentist (Oral and Maxillofacial Surgery)
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Addiction Medicine)
619 19TH ST S
BIRMINGHAM, AL 35249
Psychiatry & Neurology (Psychiatry)
619 19TH ST S
BIRMINGHAM, AL 35249
Social Worker
619 19TH ST S
BIRMINGHAM, AL 35249
Internal Medicine (Cardiovascular Disease)
619 19TH ST S
BIRMINGHAM, AL 35249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013351758, enumerated as an "individual" on April 24, 2013.

The provider is located at 619 19TH ST S BIRMINGHAM, AL 35249 and the phone number is (205) 934-4011.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.