MS. MONIQUE MANDERSON FNP-C, PMHNP-BC
NPI 1619360070
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

Q: What is Monique Manderson's NPI number?

The NPI number for Monique Manderson is 1619360070. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Q: What is Monique Manderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Monique Manderson was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 10, 2015PECOS Enrolled

122 E MAIN ST STE 124, LAKELAND, FL 33801(708) 205-3517 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2025, Jul 18, 2023, Apr 3, 2023 and 1 more (4 updates tracked since 2020).

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About Ms. Monique Manderson Fnp-c, Pmhnp-bc NPPES

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

MS. MONIQUE MANDERSON FNP-C, PMHNP-BC (NPI 1619360070) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (11014186) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619360070

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MONIQUE MANDERSONCredential: FNP-C, PMHNP-BC

Location Address122 E MAIN ST STE 124Lakeland, FL 33801-4655

Mailing Address122 E Main St Ste 124Lakeland, FL 33801-4655 · (708) 205-3517

Phone(708) 205-3517

Sole ProprietorNo

Enumeration DateMarch 10, 2015

Last NPPES UpdateFebruary 18, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1619360070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · 11014186✔ Licensed in AZ · AP11235✔ Licensed in IL · 209012605✔ Licensed in WA · AP61438293

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209012605 (IL)

122 E MAIN ST STE 124, Lakeland, FL 33801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Monique Manderson Fnp-c, Pmhnp-bc 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.

Medicare Billing Reassignments

Medicare enrollment records show Monique Manderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Illinois Department Of Human Services

776 mi

Psychiatric Hospital

1000 N MAIN ST
Anna, IL 62906

Reassigned Medicare billing, Illinois enrollment
46 clinicians in this Medicare group

NPI 1538277637 (618) 833-5161

St. Mary's Hospital, Centralia, Illinois

832 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

Clinical Research Associates, PC

880 mi

Psychiatry

777 CRAIG RD STE 200
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
53 clinicians in this Medicare group

NPI 1063632826 (314) 549-8494

Palouse River Counseling Center

2,298 mi

Community/Behavioral Health

340 NE MAPLE ST
Pullman, WA 99163

Reassigned Medicare billing, Washington enrollment
19 clinicians in this Medicare group

NPI 1063486272 (509) 334-1133

Comprehensive Healthcare

2,444 mi

Community/Behavioral Health

402 S 4TH AVE
Yakima, WA 98902

Reassigned Medicare billing, Washington enrollment
82 clinicians in this Medicare group

NPI 1073527453 (509) 575-4084

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 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

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

STAGES HEALTH & WELLNESS, LLC

Nurse Practitioner (Family)

122 E MAIN ST STE 124
LAKELAND, FL 33801

Polk County (863) 837-4867

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 Monique Manderson's NPI number?

The NPI number for Monique Manderson is 1619360070. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Monique Manderson located?

Monique Manderson practices at 122 E Main St Ste 124, Lakeland, FL 33801. The listed phone number is (708) 205-3517.

What is Monique Manderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Monique Manderson enrolled in Medicare?

Yes. Monique Manderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monique Manderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Manderson reassigns Medicare benefits to 5 organizations: Illinois Department Of Human Services (Anna, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Clinical Research Associates, PC (Saint Louis, MO), Palouse River Counseling Center (Pullman, WA) and Comprehensive Healthcare (Yakima, WA). 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 Monique Manderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monique Manderson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Medica and 2 other insurers list Monique Manderson 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 Monique Manderson was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.