NICHOLAS MANGAN
NPI 1144890930
Nurse Anesthetist, Certified Registered in Minneapolis, MN
About Nicholas Mangan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS MANGAN (NPI 1144890930) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (2607) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicholas Mangan 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicholas Mangan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Nicholas Mangan's NPI number?
The NPI number for Nicholas Mangan is 1144890930. It was assigned to this individual provider in the NPPES registry on June 25, 2021.
Where is Nicholas Mangan located?
Nicholas Mangan practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 365-6777.
What is Nicholas Mangan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nicholas Mangan enrolled in Medicare?
Yes. Nicholas Mangan 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.
Which organizations bill Medicare for Nicholas Mangan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Mangan reassigns Medicare benefits to 3 organizations: Fairview Health Services (Minneapolis, MN), University Anesthesia Providers, LLC (Minneapolis, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). Each 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 Nicholas Mangan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Mangan affiliated with any hospitals?
According to CMS data, Nicholas Mangan is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Nicholas Mangan was last updated on August 24, 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.
# Nicholas Mangan · NPI 1144890930
Nurse Anesthetist, Certified Registered physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1144890930 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2607 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 365-6777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1316008212, Minneapolis, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1144890930) · Data from the CMS NPPES public registry.