DIVINE PROVIDENCE MENGUE PA-C
NPI 1265262455
Physician Assistant in Orland Park, IL

Q: What is Divine Mengue's NPI number?

The NPI number for Divine Mengue is 1265262455. It was assigned to this individual provider in the NPPES registry on August 3, 2024.

Q: What is Divine Mengue's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Divine Mengue was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 03, 2024PECOS EnrolledAccepts Medicare Assignment

16105 S LA GRANGE RD, ORLAND PARK, IL 60467(708) 636-3767(708) 873-5849 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Divine Providence Mengue Pa-c NPPES

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

DIVINE PROVIDENCE MENGUE PA-C (NPI 1265262455) is an individual physician assistant in Orland Park, Illinois and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Evergreen Park, and is a graduate of Duke University School Of Medicine (2024).

NPPES Registry Identity

NPI1265262455

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDIVINE PROVIDENCE MENGUECredential: PA-C

Location Address16105 S LA GRANGE RDOrland Park, IL 60467-5503

Mailing Address16105 S La Grange RdOrland Park, IL 60467-5503 · (708) 636-3767 · Fax (708) 873-5849

Phone(708) 636-3767

Fax(708) 873-5849

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2024

Enumeration DateAugust 3, 2024

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1265262455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

16105 S LA GRANGE RD, Orland Park, IL 60467

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Secondary Practice Location 1

Location 13900 W 95th St Ste 12Evergreen Park, IL 60805-1901 · Phone (708) 636-3767 · Fax (708) 873-5849

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

Divine Providence Mengue Pa-c 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 ID1456880376

PECOS Enrollment IDI20250122002129

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 60467 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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.

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