Individual provider Active NPI

Linda J Mangione-Allison, P.A

  • Physician Assistant
  • Venice, FL
National Provider Identifier
1164564993
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2718 Issued in FL
Practice address
1700 E Venice Ave
Venice, FL 34292-3190
Phone
(877) 748-1114
Fax
(941) 499-5409
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2718 FL Primary

Addresses

Primary practice location

1700 E Venice Ave
Venice, FL 34292-3190

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other names 1

  • Linda J Mangione Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040422001456 FL Practitioner - Physician Assistant 2163418377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 800-4700

1720 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9700

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myprimary, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.mangione-allison.1@4290.direct.athenahealth.com
  • Direct secure messaging: linda.mangione.1@14213.direct.athenahealth.com

Organizations & group practices 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1164564993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "813-738-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923190",
            "telephone_number": "877-748-1114",
            "fax_number": "941-499-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE-ALLISON",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "MANGIONE",
            "middle_name": "J",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.