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LISA MARIE MANGINO-BLANCHARD CRNP
NPI 1811273980
Nurse Practitioner - Acute Care in Pomona, NJ

Active since November 02, 2011PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
65 W JIMMIE LEEDS RD FL 1, POMONA, NJ 08240(609) 748-7089(609) 652-3460 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Marie Mangino-blanchard Crnp NPPES

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

LISA MARIE MANGINO-BLANCHARD CRNP (NPI 1811273980) is an individual acute care provider in Pomona, New Jersey, licensed in New Jersey (26NJ01034600) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1811273980
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA MARIE MANGINO-BLANCHARDCredential: CRNP
Location Address65 W JIMMIE LEEDS RD FL 1Pomona, NJ 08240-9102
Mailing Address51 N 39th StPhiladelphia, PA 19104-2640 · (215) 662-9595
Phone(609) 748-7089
Fax(609) 652-3460
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 2, 2011
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1811273980 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
Licenses✔ Licensed in NJ · 26NJ01034600✔ Licensed in PA · SP007067
65 W JIMMIE LEEDS RD FL 1, Pomona, NJ 08240
Open in Google Maps ↗

Secondary Practice Location 1

Location 151 N 39th StPhiladelphia, PA 19104-2640 · Phone (215) 662-9595

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

Lisa Marie Mangino-blanchard Crnp 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 ID446427439
PECOS Enrollment IDI20120113000563
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Mangino-blanchard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Physician Group, PA
0.6 mi
Urgent Care
110 E JIMMIE LEEDS RD
Galloway, NJ 08205
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1003820622 (609) 748-2100
Clinical Health Care Associates Of New Jersey PC
38 mi
Internal Medicine
1400 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 133 clinicians in this Medicare group
NPI 1124122387 (856) 216-0300
University Of Penn-Medical Group
46 mi
Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1093725145 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1669860854 (215) 829-2345

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08240 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. JOSEPH V. LOMBARDI M.D.
Surgery (Vascular Surgery)
65 W JIMMIE LEEDS RD FL 1
POMONA, NJ 08240
Atlantic County (609) 748-7089
DANIELLE MARIE PINEDA M.D.
Surgery (Vascular Surgery)
65 W JIMMIE LEEDS RD FL 1
POMONA, NJ 08240
Atlantic County (609) 748-7089
CHUN W CHOI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
65 W JIMMIE LEEDS RD FL 1
POMONA, NJ 08240
Atlantic County (609) 748-7089

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 Lisa Mangino-blanchard's NPI number?

The NPI number for Lisa Mangino-blanchard is 1811273980. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Lisa Mangino-blanchard located?

Lisa Mangino-blanchard practices at 65 W Jimmie Leeds Rd Fl 1, Pomona, NJ 08240. The listed phone number is (609) 748-7089.

What is Lisa Mangino-blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Mangino-blanchard enrolled in Medicare?

Yes. Lisa Mangino-blanchard 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 Lisa Mangino-blanchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mangino-blanchard reassigns Medicare benefits to 3 organizations: Atlanticare Physician Group, PA (Galloway, NJ), Clinical Health Care Associates Of New Jersey PC (Cherry Hill, NJ) and University Of Penn-Medical Group (Philadelphia, PA). 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 Lisa Mangino-blanchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Mangino-blanchard affiliated with any hospitals?

According to CMS data, Lisa Mangino-blanchard is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Mangino-blanchard was last updated on May 28, 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.