EMILY MAMMENGA MD
NPI 1245810217
Psychiatry & Neurology - Psychiatry in Flagstaff, AZ

Q: What is Emily Mammenga's NPI number?

The NPI number for Emily Mammenga is 1245810217. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Emily Mammenga's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Emily Mammenga was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 April 13, 2021PECOS EnrolledAccepts Medicare Assignment

93.43/100

CMS Quality Rating

1895 N JASPER DR STE 3, FLAGSTAFF, AZ 86001(289) 138-8009 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Jul 7, 2025, Jul 26, 2023 and 3 more (6 updates tracked since 2021).

On this page

About Emily Mammenga Md NPPES

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

EMILY MAMMENGA MD (NPI 1245810217) is an individual psychiatry provider in Flagstaff, Arizona, licensed in Arizona (77626) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245810217

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameEMILY MAMMENGACredential: MD

Location Address1895 N JASPER DR STE 3Flagstaff, AZ 86001-1632

Mailing Address1200 N Beaver St, Attn: Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 213-6235

Phone(289) 138-8009

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1245810217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in AZ · 77626✔ Licensed in MN · 74559

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1895 N JASPER DR STE 3, Flagstaff, AZ 86001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of Arizona, HealthPartners and more.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

Emily Mammenga Md 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 ID5799187589

PECOS Enrollment IDI20230920002599, I20250828001154

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.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

Promoting Interoperability

76.5

Improvement Activities

Other Providers at the Same Location NPPES 10

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

NORTHERN ARIZONA HEALTHCARE CORPORATION

Internal Medicine