TINA MANDELMAN APN CNP
NPI 1043639255
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Tina Mandelman's NPI number?

The NPI number for Tina Mandelman is 1043639255. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Tina Mandelman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tina Mandelman was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 15, 2014PECOS Enrolled

89.09/100

CMS Quality Rating

1300 N 48TH ST, PHOENIX, AZ 85008(602) 243-7277 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tina Mandelman Apn Cnp NPPES

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

TINA MANDELMAN APN CNP (NPI 1043639255) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (274213) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043639255

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTINA MANDELMANCredential: APN CNP

Location Address1300 N 48TH STPhoenix, AZ 85008-5803

Mailing Address3003 N Central AvePhoenix, AZ 85012-2902 · (602) 323-3344

Phone(602) 243-7277

Sole ProprietorNo

Enumeration DateApril 15, 2014

Last NPPES UpdateJuly 20, 2022

NPPES CertifiedJuly 20, 2022

✔ NPI 1043639255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in AZ · 274213✔ Licensed in IL · 209.011209

1300 N 48TH ST, Phoenix, AZ 85008

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Mandelman Apn Cnp 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 85008 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

63.63

Other Providers at the Same Location NPPES 2

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

MOUNTAIN PARK HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))

1300 N 48TH ST
PHOENIX, AZ 85008

Maricopa County (602) 243-7277

DANIA DEMAURO

Social Worker (Clinical)

1300 N 48TH ST
PHOENIX, AZ 85008

Maricopa County (602) 845-4201

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 Tina Mandelman's NPI number?

The NPI number for Tina Mandelman is 1043639255. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Tina Mandelman located?

Tina Mandelman practices at 1300 N 48th St, Phoenix, AZ 85008. The listed phone number is (602) 243-7277.

What is Tina Mandelman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tina Mandelman enrolled in Medicare?

Yes. Tina Mandelman is registered in the Medicare PECOS enrollment system.

What insurance does Tina Mandelman accept?

Health plans from Blue Cross Blue Shield of Arizona list Tina Mandelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Mandelman was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.