SHAWN M MANGAN CRNP
NPI 1316175474
Nurse Practitioner - Acute Care in Philadelphia, PA

Q: What is Shawn Mangan's NPI number?

The NPI number for Shawn Mangan is 1316175474. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Shawn Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Mangan was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 29, 2009PECOS Enrolled

111 S 11TH ST, VASCULAR SURGERY, PHILADELPHIA, PA 19107(215) 355-8304(215) 923-0835 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shawn M Mangan Crnp NPPES

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

SHAWN M MANGAN CRNP (NPI 1316175474) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP010334) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316175474

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSHAWN M MANGANCredential: CRNP

Location Address111 S 11TH ST, VASCULAR SURGERYPhiladelphia, PA 19107-4824

Mailing Address4300 Boone StPhiladelphia, PA 19128-4901 · (856) 296-6552

Phone(215) 355-8304

Fax(215) 923-0835

Sole ProprietorNo

Enumeration DateJune 29, 2009

Last NPPES UpdateJanuary 4, 2018

✔ NPI 1316175474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in PA · SP010334

111 S 11TH ST, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn M Mangan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

NICOLE LYNN RENALDI D.O.

Anesthesiology

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

LING FAN

Nurse Practitioner (Acute Care)

111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-8304

WILLIAM JUSTICE MD

Student in an Organized Health Care Education/Training Program

111 S 11TH ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 995-6000

DR. DAVID P. FRIEDMAN M.D.

Radiology (Diagnostic Radiology)

111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-2900

DR. WALTER K. KRAFT M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. TAKI GALANIS M.D.

Internal Medicine

111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6540

DR. STEVEN M LUDWIN M.D.

Internal Medicine

111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6610

JENNIFER L SWOPE CRNA

Nurse Anesthetist, Certified Registered

111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-6161

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 Shawn Mangan's NPI number?

The NPI number for Shawn Mangan is 1316175474. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Shawn Mangan located?

Shawn Mangan practices at 111 S 11th St Vascular Surgery, Philadelphia, PA 19107. The listed phone number is (215) 355-8304.

What is Shawn Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shawn Mangan enrolled in Medicare?

Yes. Shawn Mangan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Mangan was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.