MRS. MARY JANE RELAMPAGOS MANCUSO FNP
NPI 1295922045
Nurse Practitioner - Family in Upland, CA
About Mrs. Mary Jane Relampagos Mancuso Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY JANE RELAMPAGOS MANCUSO FNP (NPI 1295922045) is an individual family provider in Upland, California, licensed in California (545344) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Jane Relampagos Mancuso Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPLAND, CA 91786
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 Mary Jane Mancuso's NPI number?
The NPI number for Mary Jane Mancuso is 1295922045. It was assigned to this individual provider in the NPPES registry on September 26, 2007. The provider is also known as Miss Mary Jane Corpus Relampagos.
Where is Mary Jane Mancuso located?
Mary Jane Mancuso practices at 1113 Alta Ave Suite #110, Upland, CA 91786. The listed phone number is (626) 922-8060.
What is Mary Jane Mancuso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Jane Mancuso enrolled in Medicare?
Yes. Mary Jane Mancuso is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Jane Mancuso was last updated on October 23, 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.
# Mrs. Mary Jane Relampagos Mancuso, FNP · NPI 1295922045
Family physician in Upland, California. Individual provider, active in the CMS NPPES registry since September 26, 2007.
## Identity
- **NPI:** 1295922045 (Entity type: Individual)
- **Enumerated:** September 26, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 545344 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1113 ALTA AVE, SUITE #110, Upland, CA 91786-2800
- **Phone:** (626) 922-8060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295922045) · Data from the CMS NPPES public registry.