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JESSIE T MANGS PA
NPI 1548733140
Physician Assistant - Medical in Litchfield, CT

Active since January 07, 2019PECOS Enrolled
481 BANTAM RD, LITCHFIELD, CT 06759(860) 567-1263 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Jan 7, 2019 (2 updates tracked since 2019).

About Jessie T Mangs Pa NPPES

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

JESSIE T MANGS PA (NPI 1548733140) is an individual medical provider in Litchfield, Connecticut and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1548733140
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSIE T MANGSCredential: PA
Location Address481 BANTAM RDLitchfield, CT 06759-3202
Mailing Address1290 Silas Deane Hwy Ste 102Wethersfield, CT 06109-4337 · (860) 972-6977 · Fax (860) 972-7040
Phone(860) 567-1263
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1548733140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
481 BANTAM RD, Litchfield, CT 06759
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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-8950 · Fax (860) 837-8959

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie T Mangs Pa 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.

Other Providers at the Same Location NPPES

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

NANCY KUTZ PA
Physician Assistant (Medical)
481 BANTAM RD
LITCHFIELD, CT 06759
Northwest Hills Planning Region (860) 657-1263

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 Jessie Mangs's NPI number?

The NPI number for Jessie Mangs is 1548733140. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Jessie Mangs located?

Jessie Mangs practices at 481 Bantam Rd, Litchfield, CT 06759. The listed phone number is (860) 567-1263.

What is Jessie Mangs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessie Mangs enrolled in Medicare?

Yes. Jessie Mangs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessie Mangs was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.