MEREDITH MANGUM FNP-C
NPI 1740663657
Nurse Practitioner - Family in Boise, ID
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Meredith Mangum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Meridian, ID 83646
- Reassigned Medicare billing, Idaho enrollment
- 5 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.
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.
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.
Which organizations bill Medicare for Meredith Mangum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Meredith Mangum reassigns Medicare benefits to 2 organizations: Mangum Primary Care LLC (Boise, ID) and David J Butuk MD PA (Meridian, ID). 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 Meredith Mangum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Meredith Mangum, FNP-C · NPI 1740663657
Family physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 9, 2015.
## Identity
- **NPI:** 1740663657 (Entity type: Individual)
- **Enumerated:** July 9, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP-1579A (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 608 S PHILLIPPI ST, Boise, ID 83705-1160
- **Phone:** (208) 580-8888
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mangum Primary Care LLC (NPI 1194494229, Boise, ID); David J Butuk MD PA (NPI 1710174800, Meridian, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 30, 2021
- **Other identifiers:** Other NP-1579A (ID)
---
Source: [NPI Profile](https://npiprofile.com/npi/1740663657) · Data from the CMS NPPES public registry.