MEREDITH MANGUM FNP-C
NPI 1740663657
Nurse Practitioner - Family in Boise, ID

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
608 S PHILLIPPI ST, BOISE, ID 83705(208) 580-8888 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2021, May 27, 2020 (2 updates tracked since 2020).

About Meredith Mangum Fnp-c NPPES

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

MEREDITH MANGUM FNP-C (NPI 1740663657) is an individual family provider in Boise, Idaho, licensed in Idaho (NP-1579A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740663657
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEREDITH MANGUMCredential: FNP-C
Location Address608 S PHILLIPPI STBoise, ID 83705-1160
Mailing Address608 S Phillippi StBoise, ID 83705-1160 · (208) 580-8888
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1740663657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · NP-1579A
608 S PHILLIPPI ST, Boise, ID 83705

Other Identifiers 1

OtherNP-1579AID · License

Accepted 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

Meredith Mangum Fnp-c 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 ID6709194830
PECOS Enrollment IDI20151008002877
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 83705 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Meredith Mangum's NPI number?

The NPI number for Meredith Mangum is 1740663657. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Meredith Mangum located?

Meredith Mangum practices at 608 S Phillippi St, Boise, ID 83705. The listed phone number is (208) 580-8888.

What is Meredith Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Meredith Mangum enrolled in Medicare?

Yes. Meredith 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 Meredith Mangum accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Meredith 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.

When was this NPI record last updated?

The NPPES record for Meredith Mangum was last updated on September 30, 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.