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ANGEL RENEE MANTAY AGACNP-BC
NPI 1194238972
Nurse Practitioner - Acute Care in Suffolk, VA

Active since November 15, 2017PECOS Enrolled
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434(757) 934-4821(757) 934-4276 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2021, Mar 18, 2019, Nov 15, 2017 (3 updates tracked since 2017).

About Angel Renee Mantay Agacnp-bc NPPES

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

ANGEL RENEE MANTAY AGACNP-BC (NPI 1194238972) is an individual acute care provider in Suffolk, Virginia, licensed in Virginia (0024175623) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194238972
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANGEL RENEE MANTAYCredential: AGACNP-BC
Location Address2800 GODWIN BLVD FL 1Suffolk, VA 23434-8038
Mailing Address2800 Godwin Blvd Fl 1Suffolk, VA 23434-8038 · (757) 934-4821 · Fax (757) 934-4276
Phone(757) 934-4821
Fax(757) 934-4276
Sole ProprietorNo
Enumeration DateNovember 15, 2017
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1194238972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024175623
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0024175623 (VA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0024175623 (VA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 0024175623 (VA)
2800 GODWIN BLVD FL 1, Suffolk, VA 23434
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11020 First Colonial Rd Ste AVirginia Beach, VA 23454 · Phone (757) 395-1850
Location 22790 Godwin Blvd Ste 205Suffolk, VA 23434-8154 · Phone (757) 942-2566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Renee Mantay Agacnp-bc 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 Reassignment

Medicare enrollment records show Angel Mantay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sentara Medical Group
21 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900

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 23434 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 18

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

DR. ROGER GUY ALLEN LEVER M.D.
Family Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
MS. RACHAEL SANTOS GNPBC
Nurse Practitioner (Gerontology)
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
TRISHA MIGDALIA PASCALL-LOPEZ
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
OLAGBENRO Y ONWUEMENE MD
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
THOMAS CHARLES GUIRKIN JR. MD
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
DR. MARKO TOSHICH MD
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
ARTHUR ROBERSON MD
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
DR. JON CARLO PORCIUNCULA MD
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Suffolk City (757) 934-4821

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 Angel Mantay's NPI number?

The NPI number for Angel Mantay is 1194238972. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Angel Mantay located?

Angel Mantay practices at 2800 Godwin Blvd Fl 1, Suffolk, VA 23434. The listed phone number is (757) 934-4821.

What is Angel Mantay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Angel Mantay enrolled in Medicare?

Yes. Angel Mantay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angel Mantay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angel Mantay reassigns Medicare benefits to Sentara Medical Group (Norfolk, VA). The 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 Angel Mantay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angel Mantay accept?

Health plans from Oscar Health list Angel Mantay 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.

When was this NPI record last updated?

The NPPES record for Angel Mantay was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.