DEJA MANDY APRN
NPI 1538926993
Nurse Practitioner - Gerontology in St Petersburg, FL

Q: What is Deja Mandy's NPI number?

The NPI number for Deja Mandy is 1538926993. It was assigned to this individual provider in the NPPES registry on March 4, 2024. The provider is also known as Deja Mandy Aprn.

Q: What is Deja Mandy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Deja Mandy was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 04, 2024PECOS EnrolledAccepts Medicare Assignment

1839 CENTRAL AVENUE, ST PETERSBURG, FL 33713(727) 322-1054(727) 821-7213 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Deja Mandy Aprn NPPES

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

DEJA MANDY APRN (NPI 1538926993) is an individual gerontology provider in St Petersburg, Florida, licensed in Florida (APRN11023581) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538926993

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDEJA MANDYCredential: APRN

Location Address1839 CENTRAL AVENUESt Petersburg, FL 33713-8900

Mailing Address1839 Central AvenueSt Petersburg, FL 33713-8900 · (727) 322-1054 · Fax (727) 821-7213

Phone(727) 322-1054

Fax(727) 821-7213

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 4, 2024

Last NPPES UpdateMay 24, 2024

NPPES CertifiedMarch 3, 2024

✔ NPI 1538926993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11023581

1839 CENTRAL AVENUE, St Petersburg, FL 33713

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Other Names 1

Professional Name (2)Deja Mandy Aprn

Other Identifiers 2

Medicaid121835800FL

Other4EA8CFL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Deja Mandy Aprn 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 ID1153760475

PECOS Enrollment IDI20240419001365

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 33713 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 8

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

MIRCEA GEORGE CRISTESCU MD

Emergency Medicine

1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713

Pinellas County (727) 322-1054

MRS. THERESE M. HULME ARNP

Nurse Practitioner (Adult Health)

1839 CENTRAL AVENUE
ST. PETERSBURG, FL 33713

Pinellas County (727) 322-1054

ALIYA CHRISTINE MAY PA-C

Physician Assistant