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SIDNEY SHANE MANGELSDORF AG-ACNP
NPI 1871950980
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since January 20, 2016PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-3874(602) 406-2335 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, Dec 11, 2024, Aug 16, 2019 and 3 more (6 updates tracked since 2016).

About Sidney Shane Mangelsdorf Ag-acnp NPPES

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

SIDNEY SHANE MANGELSDORF AG-ACNP (NPI 1871950980) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP8394) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871950980
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSIDNEY SHANE MANGELSDORFCredential: AG-ACNP
Location Address500 W THOMAS RD STE 400Phoenix, AZ 85013-4238
Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358
Phone(602) 406-3874
Fax(602) 406-2335
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 20, 2016
Last NPPES UpdateJune 8, 20266 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1871950980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · AP8394
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP8394 (AZ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP8394 (AZ)
500 W THOMAS RD STE 400, Phoenix, AZ 85013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Sidney Shane Mangelsdorf Ag-acnp 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 ID7810268521
PECOS Enrollment IDI20170728002543
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

4

Medicare enrollment records show Sidney Mangelsdorf reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjhmc Physician Services
Same address
Multi-Specialty
350 W THOMAS RD
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 773 clinicians in this Medicare group
NPI 1326098005 (602) 406-3729
St. Joseph's Hospital And Medical Center
0.1 mi
Emergency Care
350 W THOMAS RD
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 126 clinicians in this Medicare group
NPI 1255382412 (602) 406-3000
Affiliated Hospitalists, Plc
6.2 mi
Hospitalist
9225 N 3RD ST STE 300
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 124 clinicians in this Medicare group
NPI 1265546261 (602) 445-0751
Chandler Regional Medical Center
17 mi
Emergency Care
1955 W FRYE ROAD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 101 clinicians in this Medicare group
NPI 1871910968 (480) 728-4700

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
35 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services14 patients

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.

DR. RONALD ANTHONY GAGLIANO JR. M.D.
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
DR. THOMAS LEE GILLESPIE M.D.
Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
KEVIN P MCGEEVER M.D.
Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
JENNIFER RAE QUEZADA NP
Nurse Practitioner (Acute Care)
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-4786
DR. JONATHAN L DAMEWORTH M.D.
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
DR. JORDAN VERNON JACOBS M.D.
Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (480) 406-3874
MR. DERIK MICHAEL ALEXANDER FNP
Nurse Practitioner (Adult Health)
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874
NIMESH DINESH NAIK MD
Colon & Rectal Surgery
500 W THOMAS RD STE 400
PHOENIX, AZ 85013
Maricopa County (602) 406-3874

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 Sidney Mangelsdorf's NPI number?

The NPI number for Sidney Mangelsdorf is 1871950980. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Where is Sidney Mangelsdorf located?

Sidney Mangelsdorf practices at 500 W Thomas Rd Ste 400, Phoenix, AZ 85013. The listed phone number is (602) 406-3874.

What is Sidney Mangelsdorf's specialty?

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

Is Sidney Mangelsdorf enrolled in Medicare?

Yes. Sidney Mangelsdorf 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 Sidney Mangelsdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Mangelsdorf reassigns Medicare benefits to 4 organizations: Sjhmc Physician Services (Phoenix, AZ), St. Joseph's Hospital And Medical Center (Phoenix, AZ), Affiliated Hospitalists, Plc (Phoenix, AZ) and Chandler Regional Medical Center (Chandler, AZ). 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 Sidney Mangelsdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidney Mangelsdorf accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Sidney Mangelsdorf 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 Sidney Mangelsdorf was last updated on June 8, 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.