MANGO WELLNESS LLC
NPI 1912570987
Clinic/Center - Multi-Specialty in Saint Cloud, FL
About Mango Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANGO WELLNESS LLC (NPI 1912570987), doing business as Mangowellness, is a healthcare organization registered as a multi-specialty in Saint Cloud, Florida and active in the NPI registry since July 2021. The organization lists Siby Thomas Puthenpurayil, Owner/authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mango Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mango Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mango Wellness LLC's NPI number?
The NPI number for Mango Wellness LLC is 1912570987. It was assigned to this organization in the NPPES registry on July 19, 2021. The provider is doing business as Mangowellness.
Where is Mango Wellness LLC located?
Mango Wellness LLC is located at 2801 13th St, Saint Cloud, FL 34769. The listed phone number is (407) 593-2958.
What is Mango Wellness LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Mango Wellness LLC enrolled in Medicare?
Yes. Mango Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mango Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Mango Wellness LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Gastroenterology (1) and General Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mango Wellness LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Mango Wellness LLC 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 Mango Wellness LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mango Wellness Llc · NPI 1912570987
Multi-Specialty organization in Saint Cloud, Florida. Organization record, active in the CMS NPPES registry since July 19, 2021.
## Identity
- **NPI:** 1912570987 (Entity type: Organization)
- **Enumerated:** July 19, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** MANGOWELLNESS (Doing Business As)
- **Organization subpart:** Yes (part of Mangowellness Llc)
- **Authorized official:** Siby Puthenpurayil, OWNER/AUTHORIZED OFFICIAL
## Practice location
- **Address:** 2801 13TH ST, Saint Cloud, FL 34769-4134
- **Phone:** (407) 593-2958 · **Fax:** (407) 593-2957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Gastroenterology (1), General Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912570987) · Data from the CMS NPPES public registry.