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MATILDA MANKA MANGAN NP
NPI 1972035442
Nurse Practitioner - Adult Health in Temecula, CA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
42756 PORTRAITS LN, TEMECULA, CA 92592(949) 351-3238 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matilda Manka Mangan Np NPPES

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

MATILDA MANKA MANGAN NP (NPI 1972035442) is an individual adult health provider in Temecula, California, licensed in California (NP95006288) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972035442
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMATILDA MANKA MANGANCredential: NP
Location Address42756 PORTRAITS LNTemecula, CA 92592
Mailing Address42756 Portraits LnTemecula, CA 92592 · (949) 351-3238
Phone(949) 351-3238
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2017
✔ NPI 1972035442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95006288
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License NP95006288 (CA)
42756 PORTRAITS LN, Temecula, CA 92592
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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

Matilda Manka Mangan Np 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 ID4082745542
PECOS Enrollment IDI20170525002357
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 92592 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Matilda Mangan's NPI number?

The NPI number for Matilda Mangan is 1972035442. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Matilda Mangan located?

Matilda Mangan practices at 42756 Portraits Ln, Temecula, CA 92592. The listed phone number is (949) 351-3238.

What is Matilda Mangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Matilda Mangan enrolled in Medicare?

Yes. Matilda Mangan 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.

When was this NPI record last updated?

The NPPES record for Matilda Mangan was last updated on April 3, 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.