MRS. ROXANA KOREN MANGER APN
NPI 1962988873
Nurse Practitioner - Pediatrics in Rockford, IL

Active since July 13, 2018PECOS Enrolled
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Feb 28, 2025, Jul 13, 2018 (3 updates tracked since 2018).

About Mrs. Roxana Koren Manger Apn NPPES

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

MRS. ROXANA KOREN MANGER APN (NPI 1962988873) is an individual pediatrics provider in Rockford, Illinois, licensed in Wisconsin (16545-33) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962988873
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. ROXANA KOREN MANGERCredential: APN
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Fax(815) 490-1881
Sole ProprietorNo
Enumeration DateJuly 13, 2018
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1962988873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WI · 16545-33
1200 W STATE ST, Rockford, IL 61102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Roxana Koren Manger Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 61102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102

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 Roxana Manger's NPI number?

The NPI number for Roxana Manger is 1962988873. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Roxana Manger located?

Roxana Manger practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Roxana Manger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Roxana Manger enrolled in Medicare?

Yes. Roxana Manger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roxana Manger was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.