Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA MANGAN NP
NPI 1386212173
Nurse Practitioner in Plymouth, MN

Q: What is Melissa Mangan's NPI number?

The NPI number for Melissa Mangan is 1386212173. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Melissa Kempenich.

Q: What is Melissa Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Mangan was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 16, 2021PECOS Enrolled

15725 37TH AVE N STE 1, PLYMOUTH, MN 55446(612) 305-8825(763) 322-9114 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Mar 2, 2023, Jun 16, 2021 (3 updates tracked since 2021).

On this page

About Melissa Mangan Np NPPES

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

MELISSA MANGAN NP (NPI 1386212173) is an individual nurse practitioner in Plymouth, Minnesota, licensed in Minnesota (F06211243) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386212173

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA MANGANCredential: NP

Location Address15725 37TH AVE N STE 1Plymouth, MN 55446-3206

Mailing Address15725 37th Ave N Ste 1Plymouth, MN 55446-3206 · (612) 305-8825 · Fax (763) 322-9114

Phone(612) 305-8825

Fax(763) 322-9114

Sole ProprietorNo

Enumeration DateJune 16, 2021

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1386212173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · F06211243

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

15725 37TH AVE N STE 1, Plymouth, MN 55446

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Other Names 1

Former Name (1)Melissa Kempenich

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Mangan Np 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 55446 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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

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

KENDALL BLUE FNP-C

Nurse Practitioner (Family)

15725 37TH AVE N STE 1
PLYMOUTH, MN 55446

Hennepin County (612) 446-8474

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 Melissa Mangan's NPI number?

The NPI number for Melissa Mangan is 1386212173. It was assigned to this individual provider in the NPPES registry on June 16, 2021. The provider is also known as Melissa Kempenich.

Where is Melissa Mangan located?

Melissa Mangan practices at 15725 37th Ave N Ste 1, Plymouth, MN 55446. The listed phone number is (612) 305-8825.

What is Melissa Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Mangan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Mangan was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.