ALEX MANGAN MD
NPI 1669163614
Family Medicine in Waconia, MN

Q: What is Alex Mangan's NPI number?

The NPI number for Alex Mangan is 1669163614. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Q: What is Alex Mangan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Mangan was last updated on May 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2023PECOS Enrolled

424 W STATE HIGHWAY 5, WACONIA, MN 55387(952) 442-4461(952) 442-1547 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2026, Aug 22, 2023, May 18, 2023 (3 updates tracked since 2023).

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About Alex Mangan Md NPPES

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

ALEX MANGAN MD (NPI 1669163614) is an individual family medicine provider in Waconia, Minnesota, licensed in Minnesota (81984) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1669163614

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameALEX MANGANCredential: MD

Location Address424 W STATE HIGHWAY 5Waconia, MN 55387-1795

Mailing Address424 W State Highway 5Waconia, MN 55387-1795 · (952) 442-4461

Phone(952) 442-4461

Fax(952) 442-1547

Sole ProprietorNo

Enumeration DateMay 18, 2023

Last NPPES UpdateMay 2, 20263 updates tracked since enumeration

NPPES CertifiedMay 2, 2026

✔ NPI 1669163614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 81984

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.081574 (IL)

424 W STATE HIGHWAY 5, Waconia, MN 55387

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Secondary Practice Location 1

Location 1815 Main St Ste CPeoria, IL 61602-1080 · Phone (309) 672-4977

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex Mangan Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.