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

Active since May 29, 2023PECOS Enrolled
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: November 01, 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.

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
Phone(916) 488-6200
Fax(916) 488-6300
Sole ProprietorNo
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Joanna Willis Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Joanna Mangold Fnp 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 Reassignments

2

Medicare enrollment records show Joanna Mangold reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Teng Medical Foundation PC
17 mi
Family Medicine
831 STERLING PKWY STE 110
Lincoln, CA 95648
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1760904593 (916) 253-9898
Permanente Medical Group Inc
43 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 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.

REBECCA ANN LEWIS FNP
Family Medicine (Adult Medicine)
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821
Sacramento County (916) 488-6200
MS. RACHEL CAZARES GONZALES P.A.
Physician Assistant
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821
Sacramento County (916) 488-6200
MS. ROBIN A COLLINS FNP
Nurse Practitioner (Family)
3840 WATT AVE BLDG E
SACRAMENTO, CA 95821
Sacramento County (916) 488-6200

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 enrollment system.

Which organizations bill Medicare for Joanna Mangold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Mangold reassigns Medicare benefits to 2 organizations: Teng Medical Foundation PC (Lincoln, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Joanna Mangold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.