JADEKA MOTLEY MANGRUM PMHNP
NPI 1407536956
Nurse Practitioner - Psychiatric/Mental Health in Greensboro, NC

Q: What is Jadeka Motley Mangrum's NPI number?

The NPI number for Jadeka Motley Mangrum is 1407536956. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Q: What is Jadeka Motley Mangrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment

700 WALTER REED DR, GREENSBORO, NC 27403(336) 210-5641 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jadeka Motley Mangrum Pmhnp NPPES

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

JADEKA MOTLEY MANGRUM PMHNP (NPI 1407536956) is an individual psychiatric/mental health provider in Greensboro, North Carolina, licensed in North Carolina (5018483) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1407536956

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJADEKA MOTLEY MANGRUMCredential: PMHNP

Location Address700 WALTER REED DRGreensboro, NC 27403-1128

Mailing Address700 Glendale Dr Apt HGreensboro, NC 27406-6469 · (362) 105-6413

Phone(336) 210-5641

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 19, 2023

Last NPPES UpdateJuly 20, 2023

NPPES CertifiedJuly 20, 2023

✔ NPI 1407536956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5018483

700 WALTER REED DR, Greensboro, NC 27403

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Secondary Practice Location 1

Location 1700 Glendale Dr Apt HGreensboro, NC 27406-6469 · Phone (336) 210-5641

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Plan of North Carolina, Inc.Insurance ›

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

Jadeka Motley Mangrum Pmhnp 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 ID9830545326

PECOS Enrollment IDI20231019000535

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

31 services24 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

25 services20 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

20 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

ECATERINA GITTARD MSW, LCSWA

Social Worker (Clinical)