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JAMES R MANGERSON PA-C
NPI 1093078446
Physician Assistant in Peoria, IL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
515 NE GLEN OAK AVE STE 202, PEORIA, IL 61603(309) 624-4455(309) 624-3457 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James R Mangerson Pa-c NPPES

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

JAMES R MANGERSON PA-C (NPI 1093078446) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (085010994) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093078446
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES R MANGERSONCredential: PA-C
Location Address515 NE GLEN OAK AVE STE 202Peoria, IL 61603-3166
Mailing Address515 Ne Glen Oak Ave Ste 202Peoria, IL 61603-3166 · (309) 624-4455 · Fax (309) 624-3457
Phone(309) 624-4455
Fax(309) 624-3457
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1093078446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085010994✔ Licensed in WI · 2956✔ Licensed in OH · 50.008880RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
515 NE GLEN OAK AVE STE 202, Peoria, IL 61603
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Secondary Practice Locations 2

Location 1721 American Ave, Suite 510Waukesha, WI 53188-5071 · Phone (262) 928-5300 · Fax (262) 928-5301
Location 23533 Southern Blvd Ste 5650Kettering, OH 45429-1263 · Phone (937) 294-3611 · Fax (937) 294-9010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and more.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

James R Mangerson 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.

PECOS PAC ID5799932083
PECOS Enrollment IDI20120821000668, I20250203000882
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 3

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

DAWN MARIE RICHARDS APN
Nurse Practitioner (Acute Care)
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603
Peoria County (309) 624-4455
SARA KRISTINE SMITH AGACNP
Nurse Practitioner (Acute Care)
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603
Peoria County (309) 624-4455
LEXY TRAMMELL
Physician Assistant
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603
Peoria County (309) 645-4455

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 James Mangerson's NPI number?

The NPI number for James Mangerson is 1093078446. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is James Mangerson located?

James Mangerson practices at 515 NE Glen Oak Ave Ste 202, Peoria, IL 61603. The listed phone number is (309) 624-4455.

What is James Mangerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Mangerson enrolled in Medicare?

Yes. James Mangerson 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 James Mangerson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and Network Health list James Mangerson 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.

Is James Mangerson affiliated with any hospitals?

According to CMS data, James Mangerson is affiliated with Saint Francis Medical Center, Waukesha Memorial Hospital, Aspirus Wausau Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Mangerson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.