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ELIZABETH MANGUM NP
NPI 1649625807
Nurse Practitioner - Gerontology in Shreveport, LA

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000(318) 629-4833 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2023, Sep 11, 2018, Nov 23, 2016 and 1 more (4 updates tracked since 2016).

About Elizabeth Mangum Np NPPES

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

ELIZABETH MANGUM NP (NPI 1649625807) is an individual gerontology provider in Shreveport, Louisiana, licensed in Louisiana (AP0881) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649625807
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELIZABETH MANGUMCredential: NP
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0177
Phone(318) 626-0000
Fax(318) 629-4833
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1649625807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in LA · AP0881
Also ListedRegistered NurseTaxonomy 163W00000X · License RN82332 (LA)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP08881 (LA)
1541 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11411 Claiborne AveShreveport, LA 71103-4203 · Phone (318) 868-4421
Location 22727 Hearne Ave Ste 301Shreveport, LA 71103 · Phone (318) 631-6400 · Fax (318) 631-0300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 and accepts Medicare assignment

Elizabeth Mangum Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587956388
PECOS Enrollment IDI20160715000370
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.

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 19

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

LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Clinical Medical Laboratory
1541 KINGS HWY, LSU HISTO IMMUNOLOGY DIAGNOSTIC LAB
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5000
BRFHH SHREVEPORT, LLC
General Acute Care Hospital
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5000
BRFHH SHREVEPORT LLC
Psychiatric Unit
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5000
VICTORIA WILLIAMS MILLER PHARM.D., BCPS
Pharmacist
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-7313
MICHAEL DEES
Social Worker
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 813-2445
STEVEN CHEN MD
Anesthesiology
1541 KINGS HWY, DEPARTMENT OF ANESTHESIOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5298
D'ANDRA HUMPHREY FNP
Nurse Practitioner (Family)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5087
DIANA TOWNSEND FNP
Nurse Practitioner (Family)
1541 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5087

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 Elizabeth Mangum's NPI number?

The NPI number for Elizabeth Mangum is 1649625807. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Elizabeth Mangum located?

Elizabeth Mangum practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.

What is Elizabeth Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Elizabeth Mangum enrolled in Medicare?

Yes. Elizabeth Mangum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elizabeth Mangum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Elizabeth 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 Elizabeth Mangum affiliated with any hospitals?

According to CMS data, Elizabeth Mangum is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Mangum was last updated on February 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.