MS. THERESA LAURA MANTLE ARNP
NPI 1760875124
Nurse Practitioner - Women's Health in Sanford, FL

Active since March 10, 2015PECOS EnrolledAccepts Medicare Assignment
4930 E LAKE MARY BLVD, SANFORD, FL 32771(407) 322-8645 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Theresa Laura Mantle Arnp NPPES

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

MS. THERESA LAURA MANTLE ARNP (NPI 1760875124) is an individual women's health provider in Sanford, Florida, licensed in Florida (ARNP1842852) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760875124
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. THERESA LAURA MANTLECredential: ARNP
Location Address4930 E LAKE MARY BLVDSanford, FL 32771-5003
Mailing Address4930 E Lake Mary BlvdSanford, FL 32771-5003 · (407) 322-8645
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 10, 2015
Last NPPES UpdateFebruary 15, 2017
NPI 1760875124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in FL · ARNP1842852
4930 E LAKE MARY BLVD, Sanford, FL 32771

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

Ms. Theresa Laura Mantle Arnp 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 ID3173844396
PECOS Enrollment IDI20150530000030
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 32771 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Clinic/Center (Community Health)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Pharmacist
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Podiatrist (Foot Surgery)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Nurse Practitioner (Family)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Family Medicine
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Nurse Practitioner
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Nurse Practitioner (Pediatrics)
4930 E LAKE MARY BLVD
SANFORD, FL 32771
Nurse Practitioner (Family)
4930 E LAKE MARY BLVD
SANFORD, FL 32771

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 Theresa Mantle's NPI number?

The NPI number for Theresa Mantle is 1760875124. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Theresa Mantle located?

Theresa Mantle practices at 4930 E Lake Mary Blvd, Sanford, FL 32771. The listed phone number is (407) 322-8645.

What is Theresa Mantle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Theresa Mantle enrolled in Medicare?

Yes. Theresa Mantle 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 Theresa Mantle accept?

Health plans from AvMed, UnitedHealthcare and Wellpoint list Theresa Mantle 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 Theresa Mantle was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.