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SCOTT JOSEPH MANGO CRNA
NPI 1720414949
Nurse Anesthetist, Certified Registered in Midland, MI

Active since September 19, 2013
4000 WELLNESS DR, MIDLAND, MI 48670(989) 839-3000 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Joseph Mango Crna NPPES

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

SCOTT JOSEPH MANGO CRNA (NPI 1720414949) is an individual nurse anesthetist, certified registered in Midland, Michigan, licensed in Michigan (4704206863) and active in the NPI registry since September 2013. He maintains a secondary practice location in Bay City.

NPPES Registry Identity

NPI1720414949
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSCOTT JOSEPH MANGOCredential: CRNA
Location Address4000 WELLNESS DRMidland, MI 48670-2000
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 839-3000
Sole ProprietorNo
Enumeration DateSeptember 19, 2013
Last NPPES UpdateApril 24, 2026
NPPES CertifiedApril 24, 2026
✔ NPI 1720414949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704206863
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4000 WELLNESS DR, Midland, MI 48670
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Secondary Practice Location 1

Location 11900 Columbus AveBay City, MI 48708-6880 · Phone (989) 894-3000 · Fax (989) 891-0497

Other Identifiers 3

Other100680MI · Aana
OtherP01290769MI · Railroad Medicare
Other0872871MI · Bcbsm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Joseph Mango Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Scott Mango reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Midland
Same address
Nurse Anesthetist, Certified Registered
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 88 clinicians in this Medicare group
NPI 1770668683 (989) 839-3000
Mymichigan Medical Center Gladwin
26 mi
Critical Access
515 QUARTER ST
Gladwin, MI 48624
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1073999298 (Michigan)
  • 24 clinicians in this Medicare group
NPI 1235248071 (989) 426-9286
Mymichigan Medical Center Clare
28 mi
Nurse Anesthetist, Certified Registered
703 N MCEWAN ST
Clare, MI 48617
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1417084278 (989) 802-5000
Mymichigan Medical Center West Branch
44 mi
Family Medicine
2463 S M 30
West Branch, MI 48661
  • Reassigned Medicare billing, Michigan enrollment
  • 179 clinicians in this Medicare group
NPI 1518418292 (989) 345-3660

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

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.

MOUSAB ETEER
Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
MICHAEL DANIEL HOWSON PA-C
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
EBIN SEBASTIAN MBBS
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (248) 551-3000
ALLISON ROSE BALDWIN
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
GABRIEL FEATHER
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. BAYAN BAKIR MD
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
LORI-ANN BISSELL
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. ABRITA CHOWDHURY MD
Family Medicine
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3320

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 Scott Mango's NPI number?

The NPI number for Scott Mango is 1720414949. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Scott Mango located?

Scott Mango practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 839-3000.

What is Scott Mango's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Scott Mango enrolled in Medicare?

Yes. Scott Mango is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Mango's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Mango reassigns Medicare benefits to 4 organizations: Mymichigan Medical Center Midland (Midland, MI), Mymichigan Medical Center Gladwin (Gladwin, MI), Mymichigan Medical Center Clare (Clare, MI) and Mymichigan Medical Center West Branch (West Branch, MI). Each 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 Scott Mango's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Mango was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.