MRS. DEBRA D MANGRUM NP
NPI 1669917654
Nurse Practitioner - Adult Health in Olympia Fields, IL

Q: What is Debra Mangrum's NPI number?

The NPI number for Debra Mangrum is 1669917654. It was assigned to this individual provider in the NPPES registry on December 29, 2016.

Q: What is Debra Mangrum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Debra Mangrum was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 29, 2016PECOS EnrolledAccepts Medicare Assignment

3800 W 203RD ST STE 204, OLYMPIA FIELDS, IL 60461(708) 852-2641(708) 503-3260 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Mar 12, 2021, Jan 20, 2020 and 2 more (5 updates tracked since 2016).

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About Mrs. Debra D Mangrum Np NPPES

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

MRS. DEBRA D MANGRUM NP (NPI 1669917654) is an individual adult health provider in Olympia Fields, Illinois, licensed in Illinois (209015375) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1669917654

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. DEBRA D MANGRUMCredential: NP

Location Address3800 W 203RD ST STE 204Olympia Fields, IL 60461-1185

Mailing Address35318 Eagle WayChicago, IL 60678-1353 · (317) 528-4800 · Fax (317) 865-1479

Phone(708) 852-2641

Fax(708) 503-3260

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 29, 2016

Last NPPES UpdateDecember 15, 20215 updates tracked since enumeration

NPPES CertifiedDecember 15, 2021

✔ NPI 1669917654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in IL · 209015375✔ Licensed in IN · 71007051A

3800 W 203RD ST STE 204, Olympia Fields, IL 60461

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Secondary Practice Location 1

Location 12525 S Michigan Ave Fl 12Chicago, IL 60616-2315 · Phone (312) 567-2380 ext. 4043 · Fax (312) 328-7739

Other Identifiers 1

Medicaid300024535IN

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

Mrs. Debra D Mangrum 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 ID4789961723

PECOS Enrollment IDI20170501001138

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

238 services183 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

123 services97 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140172

Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150165

Location701 Superior AveMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 6

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

DR. MATTHEW L KAMIN DO

Internal Medicine (Cardiovascular Disease)