SCOTT RYAN MANGUM PA-C
NPI 1043180730
Physician Assistant - Medical in Blackfoot, ID
About Scott Ryan Mangum Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT RYAN MANGUM PA-C (NPI 1043180730) is an individual medical provider in Blackfoot, Idaho, licensed in Idaho (7371782) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of University Of Washington School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
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
Scott Ryan Mangum Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bingham Memorial Hospital
Critical Access Hospitals · Blackfoot, IDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLACKFOOT, ID 83221
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 Scott Mangum's NPI number?
The NPI number for Scott Mangum is 1043180730. It was assigned to this individual provider in the NPPES registry on November 7, 2025.
Where is Scott Mangum located?
Scott Mangum practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.
What is Scott Mangum's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Scott Mangum enrolled in Medicare?
Yes. Scott Mangum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Scott Mangum affiliated with any hospitals?
According to CMS data, Scott Mangum is affiliated with Bingham Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Scott Mangum was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
