MS. CANDACE D MANGUM CRNP NPI 1407924384

Nurse Practitioner - Primary Care in Notasulga, AL

Individual Female Years of Experience 18 Nurse Practitioner Primary Care PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About MS. CANDACE D MANGUM CRNP

Candace Mangum is a provider established in Notasulga, Alabama and her medical specialization is Nurse Practitioner with a focus in primary care with more than 18 years of experience. The NPI number of Candace Mangum is 1407924384 and was assigned on December 2006. The practitioner's primary taxonomy code is 363LP2300X with license number 1-090975 (AL). The provider is registered as an individual and her NPI record was last updated 13 years ago.

A nurse practitioner (NP) like Ms. Candace D Mangum Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

NPI

1407924384

Provider NameMS. CANDACE D MANGUM CRNP
Provider Location Address56 WEST MAIN STREET NOTASULGA, AL 36866
Provider Mailing AddressPO BOX 100 NOTASULGA, AL 36866
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Enumeration Date12-01-2006
Last Update Date06-08-2009



Candace Mangum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Candace Mangum is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with The East Alabama Healthcare Authority.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: preventive care and screening: body mass index (bmi) screening and follow-up plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.48 for a new patient copayment and $24.83 for an established patient copayment.



Primary Taxonomy

Taxonomy Code363LP2300X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPrimary Care
License No.1-090975
License StateAL

Business Address

MS. CANDACE D MANGUM CRNP
56 WEST MAIN STREET
NOTASULGA, AL
ZIP 36866
Phone: (334) 257-1081
Fax: (334) 257-1086

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Mailing Address

MS. CANDACE D MANGUM CRNP
PO BOX 100
NOTASULGA, AL
ZIP 36866
Phone: (334) 257-1081
Fax: (334) 257-1086


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618070855
PECOS Enrollment IDI20070308000642
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 36866 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.54 $170.61 $85.95
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.88 $42.65 $21.48
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.93 $139.08 $99.33
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.23 $34.77 $24.83

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 98% 169
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 351Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 240Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 104Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 88Hemoglobin A1C level (HCPCS:83036)
  • 48Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 48Automated urinalysis test (HCPCS:81003)
  • 36Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Candace Mangum is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE EAST ALABAMA HEALTHCARE AUTHORITY2000 PEPPERELL PARKWAY
OPELIKA, AL 36801
(334) 749-3411Acute Care Hospitals10029

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
051558482MANMEDICARE PIN (08)AL
Q75732MEDICARE UPIN (02)AL
051558482OTHER (01)ALPTAN
891017112MEDICAID (05)AL
1164550489OTHER (01)ORGANIZATIONAL NPI

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407924384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24071828316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 8 + 2 + 8 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1407924384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164550489NOTASULGA HEALTHCARE
Organization
Nurse Practitioner (Primary Care)56 WEST MAIN STREET
NOTASULGA, AL 36866
(334) 283-3734

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ms. Candace D Mangum Crnp is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.