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

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: August 23, 2026.

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

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, Imperial Insurance Companies, Inc. and more.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)

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.

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.

What insurance does Monique Manderson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Imperial Insurance Companies, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 6 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.