ELIZABETH MANGUM NP
NPI 1649625807
Nurse Practitioner - Gerontology in Shreveport, LA
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
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Mangum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 35 clinicians in this Medicare group
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.
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, LAPhysician 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Elizabeth Mangum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mangum reassigns Medicare benefits to Wkmc Cardiovascular Consultants (Shreveport, LA). 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 Elizabeth Mangum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Mangum accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Elizabeth Mangum, NP · NPI 1649625807
Gerontology physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 25, 2016.
## Identity
- **NPI:** 1649625807 (Entity type: Individual)
- **Enumerated:** April 25, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP0881 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0000 · **Fax:** (318) 629-4833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wkmc Cardiovascular Consultants (NPI 1801205802, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649625807) · Data from the CMS NPPES public registry.