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

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: October 25, 2026.

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

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 Ambetter from Arizona Complete Health, Ambetter Health, Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Emily Mammenga reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Arizona Healthcare Corporation
0.8 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546
Carris Health LLC
1,109 mi
Emergency Medicine
301 BECKER AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1134632680 (320) 235-4543
St. Cloud Hospital
1,148 mi
Physical Therapy
30 RAILROAD AVE
Albany, MN 56307
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
NPI 1609241447 (320) 845-6138
Centracare Health System-Nr LLC
1,168 mi
Critical Access
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • 285 clinicians in this Medicare group
NPI 1275872772 (763) 295-2945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality89
Promoting Interoperability76.5
Improvement Activities40

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
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
URGENT CARE NORTHERN ARIZONA HEALTHCARE LLC
Clinic/Center (Urgent Care)
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
NANCY RUBALCABA
Physician Assistant
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6430
PHILLIP ALEXANDER WILLIAMS MD
Obstetrics & Gynecology
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 213-6385
GEORGE W. RODWAY PHD, APRN-NP
Nurse Practitioner
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6430
LILLIAN EKLOF DO
Student in an Organized Health Care Education/Training Program
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
MS. KATHERINE C KINNEY MSW
Social Worker (Clinical)
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
DR. DEMETRA DIANE BARR REYNOLDS M.D.
Family Medicine
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800

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 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.

Where is Emily Mammenga located?

Emily Mammenga practices at 1895 N Jasper Dr Ste 3, Flagstaff, AZ 86001. The listed phone number is (289) 138-8009.

What is Emily Mammenga's specialty?

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

Is Emily Mammenga enrolled in Medicare?

Yes. Emily Mammenga 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.

Which organizations bill Medicare for Emily Mammenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Mammenga reassigns Medicare benefits to 4 organizations: Northern Arizona Healthcare Corporation (Flagstaff, AZ), Carris Health LLC (Willmar, MN), St. Cloud Hospital (Albany, MN) and Centracare Health System-Nr LLC (Monticello, MN). Each 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 Emily Mammenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Mammenga accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Avera Health Plans, Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Emily Mammenga 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 Emily Mammenga affiliated with any hospitals?

According to CMS data, Emily Mammenga is affiliated with St Cloud Hospital.

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 14 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.