MRS. JOANNA MANGOLD FNP
NPI 1164115010
Nurse Practitioner - Family in Sacramento, CA

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
3840 WATT AVE BLDG E, SACRAMENTO, CA 95821(916) 488-6200(916) 488-6300 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Joanna Mangold Fnp NPPES

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

MRS. JOANNA MANGOLD FNP (NPI 1164115010) is an individual family provider in Sacramento, California, licensed in California (95023258) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164115010
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JOANNA MANGOLDCredential: FNP
Location Address3840 WATT AVE BLDG ESacramento, CA 95821-2640
Mailing Address3208 Woedee DrEl Dorado Hills, CA 95762-7502 · (951) 258-0690
Fax(916) 488-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2023
NPPES CertifiedMay 27, 2023
NPI 1164115010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95023258
3840 WATT AVE BLDG E, Sacramento, CA 95821

Other Names 1

Former Name (1)Joanna Willis Rn

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

Mrs. Joanna Mangold Fnp 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 ID9032646971
PECOS Enrollment IDI20241217001696
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 95821 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 3

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

Family Medicine (Adult Medicine)
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821
Physician Assistant
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821
Nurse Practitioner (Family)
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821

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 Joanna Mangold's NPI number?

The NPI number for Joanna Mangold is 1164115010. It was assigned to this individual provider in the NPPES registry on May 29, 2023. The provider is also known as Joanna Willis Rn.

Where is Joanna Mangold located?

Joanna Mangold practices at 3840 Watt Ave Bldg E, Sacramento, CA 95821. The listed phone number is (916) 488-6200.

What is Joanna Mangold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joanna Mangold enrolled in Medicare?

Yes. Joanna Mangold 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.

When was this NPI record last updated?

The NPPES record for Joanna Mangold was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.