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LYDIA ROSE MANGAN PA-C
NPI 1992282511
Physician Assistant - Medical in Indianapolis, IN

Active since July 26, 2018PECOS Enrolled
8402 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260(317) 338-7674 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2022, Feb 8, 2021, Aug 7, 2018 and 1 more (4 updates tracked since 2018).

About Lydia Rose Mangan Pa-c NPPES

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

LYDIA ROSE MANGAN PA-C (NPI 1992282511) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10002502A) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992282511
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLYDIA ROSE MANGANCredential: PA-C
Location Address8402 HARCOURT RD STE 100Indianapolis, IN 46260
Mailing Address8402 Harcourt Rd Ste 100Indianapolis, IN 46260-2006
Phone(317) 338-7674
Sole ProprietorNo
Enumeration DateJuly 26, 2018
Last NPPES UpdateJuly 20, 20224 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1992282511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10002502A
8402 HARCOURT RD STE 100, Indianapolis, IN 46260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Rose Mangan Pa-c 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.

Other Providers at the Same Location NPPES 4

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

DR. ENRICO JOSEPH STAZZONE M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7674
TARA BURMAN PA-C
Physician Assistant (Medical)
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7674
JONATHAN HOWARD WILHITE MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7674
JORDEN ROSE SMITH PA-C
Physician Assistant (Surgical)
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Marion County (317) 338-7674

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 Lydia Mangan's NPI number?

The NPI number for Lydia Mangan is 1992282511. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Lydia Mangan located?

Lydia Mangan practices at 8402 Harcourt Rd Ste 100, Indianapolis, IN 46260. The listed phone number is (317) 338-7674.

What is Lydia Mangan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lydia Mangan enrolled in Medicare?

Yes. Lydia Mangan is registered in the Medicare PECOS enrollment system.

What insurance does Lydia Mangan accept?

Health plans from CareSource list Lydia Mangan 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 Lydia Mangan was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.