TIA MANDELA
NPI 1184102089
Nurse Practitioner - Family in Ashland, OH

Active since August 02, 2018PECOS EnrolledAccepts Medicare Assignment
1016 SUGARBUSH DR, ASHLAND, OH 44805(419) 903-0404 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2018, Aug 2, 2018 (2 updates tracked since 2018).

About Tia Mandela NPPES

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

TIA MANDELA (NPI 1184102089) is an individual family provider in Ashland, Ohio, licensed in Ohio (APRN.CNP.022940) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184102089
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIA MANDELA
Location Address1016 SUGARBUSH DRAshland, OH 44805
Mailing Address1016 Sugarbush DrAshland, OH 44805-9489
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2018
Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration
NPI 1184102089 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 OH · APRN.CNP.022940
1016 SUGARBUSH DR, Ashland, OH 44805

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

Tia Mandela 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 ID4587913363
PECOS Enrollment IDI20180828002246
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
44 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services41 patients
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.
30 services30 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Nurse Practitioner
1016 SUGARBUSH DR
ASHLAND, OH 44805
Nurse Practitioner (Family)
1016 SUGARBUSH DR
ASHLAND, OH 44805
Nurse Practitioner (Family)
1016 SUGARBUSH DR
ASHLAND, OH 44805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184102089, enumerated as an "individual" on August 02, 2018.

The provider is located at 1016 SUGARBUSH DR ASHLAND, OH 44805 and the phone number is (419) 903-0404.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.