SHAHIDA MANGELSDORF AGACNP
NPI 1760868707
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 500, PHOENIX, AZ 85013(602) 406-4000(602) 406-6498 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2023, Sep 20, 2019 (2 updates tracked since 2019).

About Shahida Mangelsdorf Agacnp NPPES

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

SHAHIDA MANGELSDORF AGACNP (NPI 1760868707) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP7695) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760868707
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHAHIDA MANGELSDORFCredential: AGACNP
Location Address500 W THOMAS RD STE 500Phoenix, AZ 85013-4220
Mailing Address500 W Thomas Rd Ste 500Phoenix, AZ 85013-4220 · (602) 406-4000 · Fax (602) 406-6498
Fax(602) 406-6498
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 31, 2015
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1760868707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AZ · AP7695
500 W THOMAS RD STE 500, Phoenix, AZ 85013

Other Names 1

Other Name (5)Shahida Khan Acnpc-ag

Other Identifiers 1

Medicaid056526AZ

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

Shahida Mangelsdorf Agacnp 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 ID5698083962
PECOS Enrollment IDI20151006002715
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 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

Family Medicine
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Psychiatry & Neurology (Psychiatry)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Surgery (Surgical Critical Care)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Nurse Practitioner (Family)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Nurse Practitioner (Acute Care)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Internal Medicine (Pulmonary Disease)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760868707, enumerated as an "individual" on July 31, 2015.

The provider is located at 500 W THOMAS RD STE 500 PHOENIX, AZ 85013 and the phone number is (602) 406-4000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.