ZACHARY D MANGUM ARNP
NPI 1053929414
Nurse Practitioner - Psychiatric/Mental Health in Port Townsend, WA

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
884 W PARK AVE, PORT TOWNSEND, WA 98368(360) 385-0321 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Jul 21, 2020 (2 updates tracked since 2020).

About Zachary D Mangum Arnp NPPES

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

ZACHARY D MANGUM ARNP (NPI 1053929414) is an individual psychiatric/mental health provider in Port Townsend, Washington, licensed in Washington (AP61160443) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053929414
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameZACHARY D MANGUMCredential: ARNP
Location Address884 W PARK AVEPort Townsend, WA 98368-2273
Mailing Address1700 13th St # 4aEverett, WA 98201-1689
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2020
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 20, 2021
NPI 1053929414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP61160443
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN60474418 (WA)
884 W PARK AVE, Port Townsend, WA 98368

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

Zachary D Mangum Arnp 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 ID1456751858
PECOS Enrollment IDI20210607000602
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 98368 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Counselor
884 W PARK AVE
PORT TOWNSEND, WA 98368
Registered Nurse
884 W PARK AVE
PORT TOWNSEND, WA 98368
Counselor
884 W PARK AVE
PORT TOWNSEND, WA 98368
Registered Nurse
884 W PARK AVE
PORT TOWNSEND, WA 98368
Nurse Practitioner (Psychiatric/Mental Health)
884 W PARK AVE
PORT TOWNSEND, WA 98368
Student in an Organized Health Care Education/Training Program
884 W PARK AVE
PORT TOWNSEND, WA 98368
Counselor (Mental Health)
884 W PARK AVE
PORT TOWNSEND, WA 98368
Counselor
884 W PARK AVE
PORT TOWNSEND, WA 98368

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 Zachary Mangum's NPI number?

The NPI number for Zachary Mangum is 1053929414. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Zachary Mangum located?

Zachary Mangum practices at 884 W Park Ave, Port Townsend, WA 98368. The listed phone number is (360) 385-0321.

What is Zachary Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Zachary Mangum enrolled in Medicare?

Yes. Zachary 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.

What insurance does Zachary Mangum accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Zachary Mangum 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 Zachary Mangum was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.