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

Q: 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.

Q: What is Angel Mantay's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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