Individual provider Active NPI

Nomuhle Mangena

  • Primary Care Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1205593514
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704245956 Issued in MI
Practice address
15745 S Airport Rd
Battle Creek, MI 49015-8670
Phone
(269) 565-3640
NPI assigned
Nov 22, 2021
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704245956 MI Primary

Addresses

Primary practice location

15745 S Airport Rd
Battle Creek, MI 49015-8670

Mailing address

15745 S Airport Rd
Battle Creek, MI 49015-8670
Phone (269) 565-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230320002396 MI Practitioner - Nurse Practitioner 1759438021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Care PC CurrentSince Feb 13, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 18, 2023 Accepting new patients
Marathon Health, LLC Current Accepting new patients
East Columbia Urgent Care PLLC Primary Care CurrentSince Jul 1, 2025 Accepting new patients
Azova Care Group (FL), PLLC Past Accepting new patients

Locations

1250 Columbia Ave E
Ste B
Battle Creek, MI 49014
Phone (269) 883-6052

3600 Capital Ave SW
Ste 205
Battle Creek, MI 49015
Phone (269) 441-1000

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: nomuhle.mangena.1@14940.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1205593514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15745 S AIRPORT RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158670",
            "telephone_number": "269-565-3640",
            "fax_number": "269-704-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15745 S AIRPORT RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158670",
            "telephone_number": "269-565-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGENA",
        "first_name": "NOMUHLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704245956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.