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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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)

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Mangum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bighorn Valley Health Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
112 W LEWIS ST
Livingston, MT 59047
  • Reassigned Medicare billing, Montana enrollment
  • 82 clinicians in this Medicare group
NPI 1487741005 (406) 222-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Livingston Healthcare

Critical Access Hospitals · Livingston, MT
3/5 CMS rating
OwnershipPhysician
CMS Certification Number271317
Location320 Alpenglow LaneLivingston, MT 59047 · Park County
Emergency services

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 16

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)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 922-0881
PIPER D KMETZ
Nurse Practitioner (Family)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
ALYSSA BARRETT LCSW
Social Worker (Clinical)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
MEGHAN CHRISTINE CRAIG LADC
Counselor (Mental Health)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
ANNA K DEWEES BA, MA, LCPC, LAC
Counselor (Mental Health)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
SARA BETH BANDSTRA LCSW
Social Worker (Clinical)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
GABRIELA MORIE FNP
Nurse Practitioner (Family)
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111
BIGHORN VALLEY HEALTH CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
112 W LEWIS ST
LIVINGSTON, MT 59047
Park County (406) 222-1111

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 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.

Where is Jessica Mangum located?

Jessica Mangum practices at 112 W Lewis St, Livingston, MT 59047. The listed phone number is (406) 222-1111.

What is Jessica Mangum's specialty?

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

Is Jessica Mangum enrolled in Medicare?

Yes. Jessica Mangum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Mangum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mangum reassigns Medicare benefits to Bighorn Valley Health Center Incorporated (Livingston, MT). The 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 Jessica Mangum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mangum accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence Health Plan and UnitedHealthcare list Jessica Mangum 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.

Is Jessica Mangum affiliated with any hospitals?

According to CMS data, Jessica Mangum is affiliated with Bozeman Health Deaconess Hospital and Livingston Healthcare.

When was this NPI record last updated?

The NPPES record for Jessica Mangum was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.