1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Nurse Practitioner
  6. NPI Profile

TRACY D MANGAN NP
NPI 1225413487
Nurse Practitioner in Fort Wayne, IN

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825(260) 203-9600(260) 739-6167 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy D Mangan Np NPPES

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

TRACY D MANGAN NP (NPI 1225413487) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71005609A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Cameron Memorial Community Hospital Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225413487
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACY D MANGANCredential: NP
Location Address10343 DAWSONS CREEK BLVD, SUITE AFort Wayne, IN 46825-1906
Mailing Address10343 Dawsons Creek Blvd, Suite AFort Wayne, IN 46825-1906 · (260) 203-9600 · Fax (260) 739-6167
Phone(260) 203-9600
Fax(260) 739-6167
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 29, 2015
✔ NPI 1225413487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71005609A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10343 DAWSONS CREEK BLVD, Fort Wayne, IN 46825
Open in Google Maps ↗

Accepted Insurance

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

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

Tracy D Mangan Np 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 ID749594646
PECOS Enrollment IDI20150806009801
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cameron Memorial Community Hospital Inc

Critical Access Hospitals · Angola, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151315
Location416 E Maumee StAngola, IN 46703 · Steuben County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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

ALBERT V EMILIAN MD
Emergency Medicine
10343 DAWSONS CREEK BLVD, SUITE A
FORT WAYNE, IN 46825
Allen County (260) 203-9600
DR. CARL O MYERS O.D.
Optometrist (Vision Therapy)
10343 DAWSONS CREEK BLVD, STE B, BLDG 6
FORT WAYNE, IN 46825
Allen County (260) 497-7973
JESSICA R. COMPTON PNP-AC
Nurse Practitioner
10343 DAWSONS CREEK BLVD, SUITE A
FORT WAYNE, IN 46825
Allen County (260) 203-9600
DR. LAURETTE C ROBEY MD
Obstetrics & Gynecology (Gynecology)
10343 DAWSONS CREEK BLVD, #6C
FORT WAYNE, IN 46825
Allen County (260) 497-8677
JOHN HEEMSTRA M.D.
Emergency Medicine
10343 DAWSONS CREEK BLVD
FORT WAYNE, IN 46825
Allen County (260) 203-9600
INDIANA VISION DEVELOPMENT CENTER PC
Optometrist
10343 DAWSONS CREEK BLVD, STE B BLDG 6
FORT WAYNE, IN 46825
Allen County (260) 497-7973
LAURETTE C. ROBEY, MD PC
Obstetrics & Gynecology (Gynecology)
10343 DAWSONS CREEK BLVD, #6C
FORT WAYNE, IN 46825
Allen County (260) 497-8677

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 Tracy Mangan's NPI number?

The NPI number for Tracy Mangan is 1225413487. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Tracy Mangan located?

Tracy Mangan practices at 10343 Dawsons Creek Blvd Suite A, Fort Wayne, IN 46825. The listed phone number is (260) 203-9600.

What is Tracy Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tracy Mangan enrolled in Medicare?

Yes. Tracy Mangan 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.

What insurance does Tracy Mangan accept?

Health plans from CareSource list Tracy Mangan 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.

Is Tracy Mangan affiliated with any hospitals?

According to CMS data, Tracy Mangan is affiliated with Cameron Memorial Community Hospital Inc.

When was this NPI record last updated?

The NPPES record for Tracy Mangan was last updated on July 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.