Individual provider Active NPI

Teresa M. Mangin, MD

  • Neurology Physician
  • Madison, WI
National Provider Identifier
1144385352
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
54769-020 Issued in WI
Practice address
20 S Park St
Madison, WI 53715-1348
Phone
(608) 287-2090
Fax
(608) 287-2086
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01087324A IN
Neurology Physician 2084N0400X MD430843 PA
Neurology Physician 2084N0400X 54769-020 WI Primary

Addresses

Primary practice location

20 S Park St
Madison, WI 53715-1348

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

2400 17th St
Columbus, IN 47201-5351
Phone (812) 376-5974

Other practice location 2

155 Wellness Way
State College, PA 16803-6702
Phone (814) 231-7000

Other identifiers 1

IdentifierTypeStateIssuer
61032OtherWIDEAN HEALTH INSURANCE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmangin770531@direct.uwhealth.org
Direct Messaging Address tmangin50934@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, IN, MN, ME, PA, MO7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20101115001382 WI Practitioner - Neurology 9032284104 Reassigns benefits to 2 organizations
I20230502002383 TX Practitioner - Neurology 9032284104 Reassigns benefits to 2 organizations
I20231202000182 IN Practitioner - Neurology 9032284104 Reassigns benefits to 1 organization
I20240207002657 MN Practitioner - Neurology 9032284104 Reassigns benefits to 1 organization
I20250210000251 ME Practitioner - Neurology 9032284104 Reassigns benefits to 2 organizations
I20250220002366 PA Practitioner - Neurology 9032284104 Reassigns benefits to 5 organizations
I20250417002724 MO Practitioner - NeurologyPractitioner - Psychiatry 9032284104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Eagle Butte Indian Health Service HospitalGroup PAC ID 7517852759, 42 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

2160 State Rd
Lancaster, PA 17601-1812

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

24276 166TH Airport Rd
Eagle Butte, SD 57625-1022
Phone 60596477240515

360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1770

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

PO Box
Suite 1012
Eagle Butte, SD 57625-1012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01087324AINMDNeurology Physician
54769-020WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Hospital CurrentSince Jan 1, 2025 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 9, 2024 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Missouri Delta Medical Center Neurology CurrentSince Feb 8, 2025 Accepting new patients
St. Joseph Medical Group CurrentSince Feb 19, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2015 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Feb 19, 2025 Accepting new patients
Penn State Health Medical Group, LLC Neurology CurrentSince Feb 19, 2025 Accepting new patients
Missouri Delta Medical Center CurrentSince Feb 8, 2025 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Dec 1, 2023 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
St. Joseph Medical Group Neurology CurrentSince Feb 19, 2025 Accepting new patients
Fulton County Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Dec 1, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 9, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince May 26, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2015 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jan 12, 2023 Accepting new patients
Fulton County Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Winona Health Services CurrentSince Dec 22, 2025 Accepting new patients
Winona Health Services Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

99 Campus Ave
Ste 402
Lewiston, ME 04240
Phone (207) 777-4455

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

20 S Park St
Madison, WI 53715
Phone (608) 287-2090

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

715 W Pleasant St
Portage, WI 53901
Phone (608) 745-5900

Interoperability endpoints

  • Direct secure messaging: tmangin50934@edirect.crh.org
  • Direct secure messaging: tmangin725443@direct.gundersenhealth.org
  • Direct secure messaging: tmangin770531@direct.uwhealth.org
  • Direct secure messaging: tmangin802957@direct.centracare.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1144385352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151348",
            "telephone_number": "608-287-2090",
            "fax_number": "608-287-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-376-5974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036702",
            "country_code": "US",
            "telephone_number": "814-231-7000",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIN",
        "first_name": "TERESA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01087324A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD430843",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "54769-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "61032",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmangin770531@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "20 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmangin50934@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.