ANNETTE GINA MANGIAMELI PHD
NPI 1063705101
Psychologist - Clinical in Plano, TX

Active since May 23, 2011PECOS Enrolled
4349 JEKER DR, PLANO, TX 75074(619) 762-8909 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annette Gina Mangiameli Phd NPPES

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

ANNETTE GINA MANGIAMELI PHD (NPI 1063705101) is an individual clinical provider in Plano, Texas, licensed in Texas (34289) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063705101
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANNETTE GINA MANGIAMELICredential: PHD
Location Address4349 JEKER DRPlano, TX 75074-3571
Mailing Address4349 Jeker DrPlano, TX 75074-3571 · (619) 762-8909
Sole ProprietorYes
Enumeration DateMay 23, 2011
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1063705101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in TX · 34289✔ Licensed in CA · PSY17997
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4349 JEKER DR, Plano, TX 75074

Other Names 1

Former Name (1)Annette Gina Edwards

Other Identifiers 1

Medicaid2843021TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Gina Mangiameli Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Annette Mangiameli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Texas enrollment
  • 106 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75074 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Annette Mangiameli's NPI number?

The NPI number for Annette Mangiameli is 1063705101. It was assigned to this individual provider in the NPPES registry on May 23, 2011. The provider is also known as Annette Gina Edwards.

Where is Annette Mangiameli located?

Annette Mangiameli practices at 4349 Jeker Dr, Plano, TX 75074. The listed phone number is (619) 762-8909.

What is Annette Mangiameli's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Annette Mangiameli enrolled in Medicare?

Yes. Annette Mangiameli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annette Mangiameli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Mangiameli reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Mangiameli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annette Mangiameli accept?

Health plans from Oscar Health, Oscar Insurance Company and UnitedHealthcare list Annette Mangiameli 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 Annette Mangiameli was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.