BETTY MBANGWANA
NPI 1528640638
Nurse Practitioner - Family in Portage, MI
About Betty Mbangwana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETTY MBANGWANA (NPI 1528640638) is an individual family provider in Portage, Michigan, licensed in Michigan (4704310944) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Betty Mbangwana 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.
Medicare Billing Reassignments
2Medicare enrollment records show Betty Mbangwana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49002 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Betty Mbangwana's NPI number?
The NPI number for Betty Mbangwana is 1528640638. It was assigned to this individual provider in the NPPES registry on April 27, 2021.
Where is Betty Mbangwana located?
Betty Mbangwana practices at 1588 Drayton Ct, Portage, MI 49002. The listed phone number is (774) 823-9101.
What is Betty Mbangwana's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Betty Mbangwana enrolled in Medicare?
Yes. Betty Mbangwana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Betty Mbangwana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Betty Mbangwana reassigns Medicare benefits to 2 organizations: Theoria Medical (Brighton, MI) and Complexcare Medical Group Midwest H PLLC (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Betty Mbangwana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Betty Mbangwana accept?
Health plans from Priority Health list Betty Mbangwana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Betty Mbangwana was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Betty Mbangwana · NPI 1528640638
Family physician in Portage, Michigan. Individual provider, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1528640638 (Entity type: Individual)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704310944 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1588 DRAYTON CT, Portage, MI 49002-7293
- **Phone:** (774) 823-9101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Theoria Medical (NPI 1164186946, Brighton, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528640638) · Data from the CMS NPPES public registry.