MUBANGU MADO MANDAMUNA
NPI 1588333033
Nurse Practitioner - Family in Champaign, IL
About Mubangu Mado Mandamuna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUBANGU MADO MANDAMUNA (NPI 1588333033) is an individual family provider in Champaign, Illinois, licensed in Illinois (209023791) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mubangu Mado Mandamuna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61820 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 Mubangu Mandamuna's NPI number?
The NPI number for Mubangu Mandamuna is 1588333033. It was assigned to this individual provider in the NPPES registry on September 8, 2021.
Where is Mubangu Mandamuna located?
Mubangu Mandamuna practices at 201 N Randolph St, Champaign, IL 61820. The listed phone number is (877) 726-6494.
What is Mubangu Mandamuna's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mubangu Mandamuna enrolled in Medicare?
Yes. Mubangu Mandamuna is registered in the Medicare PECOS enrollment system.
What insurance does Mubangu Mandamuna accept?
Health plans from Molina Healthcare list Mubangu Mandamuna 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 Mubangu Mandamuna was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Mubangu Mado Mandamuna · NPI 1588333033
Family physician in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since September 8, 2021.
## Identity
- **NPI:** 1588333033 (Entity type: Individual)
- **Enumerated:** September 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209023791 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 N RANDOLPH ST, Champaign, IL 61820-3935
- **Phone:** (877) 726-6494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1588333033) · Data from the CMS NPPES public registry.