JESSICA MANGUM FNP
NPI 1619847035
Nurse Practitioner - Family in Livingston, MT

Q: What is Jessica Mangum's NPI number?

The NPI number for Jessica Mangum is 1619847035. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Q: What is Jessica Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mangum was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 10, 2025PECOS Enrolled

112 W LEWIS ST, LIVINGSTON, MT 59047(406) 222-1111 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2025, Nov 10, 2025 (2 updates tracked since 2025).

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About Jessica Mangum Fnp NPPES

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

JESSICA MANGUM FNP (NPI 1619847035) is an individual family provider in Livingston, Montana, licensed in Montana (272987) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619847035

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA MANGUMCredential: FNP

Location Address112 W LEWIS STLivingston, MT 59047-3066

Mailing Address112 W Lewis StLivingston, MT 59047-3066 · (406) 222-1111

Phone(406) 222-1111

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 10, 2025

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1619847035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in MT · 272987

112 W LEWIS ST, Livingston, MT 59047

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mangum Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961981220

PECOS Enrollment IDI20260206001452

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270057

Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59047 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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 14

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

DR. JOANNA VAUGHEY WALES D.D.S.

Dentist (General Practice)