Individual provider Active NPI

Siix Mangery

  • Psychiatric/Mental Health Nurse Practitioner
  • Irwin, PA
National Provider Identifier
1043089550
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028982 Issued in PA
Practice address
25 N Thompson LN Ste E
Irwin, PA 15642-9305
Phone
(724) 382-4941
Fax
(724) 590-5121
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028982 PA Primary

Addresses

Primary practice location

25 N Thompson LN Ste E
Irwin, PA 15642-9305

Mailing address

25 N Thompson LN Ste E
Irwin, PA 15642-9305
Phone (724) 382-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002130 PA Practitioner - Nurse Practitioner 5294186730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alepix Behavioral Clinic Professional CorporationGroup PAC ID 8820401896, 21 clinicians

Practice addresses (Care Compare)

25 N Thompson LN
Suite E
Irwin, PA 15642-9305
Phone (724) 382-4941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alepix Behavioral Clinic Professional Corporation CurrentSince Dec 27, 2023 Accepting new patients

Locations

25 N Thompson Ln
Ste E
North Huntingdon, PA 15642
Phone (724) 382-4941

27 N Thompson Ln
Ste B
North Huntingdon, PA 15642
Phone (724) 382-4941

Interoperability endpoints

  • Direct secure messaging: alepixbehavioralclinic.siixmangery@150102.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1043089550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N THOMPSON LN STE E",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429305",
            "telephone_number": "724-382-4941",
            "fax_number": "724-590-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N THOMPSON LN STE E",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429305",
            "telephone_number": "724-382-4941",
            "fax_number": "724-590-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGERY",
        "first_name": "SIIX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.