MANGO WELLNESS
NPI 1992535835
Nurse Practitioner - Family in Fairfax, VA
About Mango Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANGO WELLNESS (NPI 1992535835) is a healthcare organization registered as a family in Fairfax, Virginia and active in the NPI registry since August 2024. The organization lists Hailey Jun, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mango Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Pig LLC's NPI number?
The NPI number for Pig LLC is 1992535835. It was assigned to this organization in the NPPES registry on August 6, 2024. The provider is doing business as Mango Wellness.
Where is Pig LLC located?
Pig LLC is located at 11166 Fairfax Blvd Ste 500f38, Fairfax, VA 22030. The listed phone number is (703) 686-5833.
What is Pig LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pig LLC enrolled in Medicare?
Yes. Pig LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pig LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pig 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pig LLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mango Wellness · NPI 1992535835
Family organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since August 6, 2024.
## Identity
- **NPI:** 1992535835 (Entity type: Organization)
- **Enumerated:** August 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Pig Llc
- **Organization subpart:** No
- **Authorized official:** Hailey Jun, PRESIDENT
## Practice location
- **Address:** 11166 FAIRFAX BLVD STE 500F38, Fairfax, VA 22030-5017
- **Phone:** (703) 686-5833 · **Fax:** (703) 635-7127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992535835) · Data from the CMS NPPES public registry.