Active NPI
Brittney Mahnke, ACNP-AG
- Gerontology Nurse Practitioner
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 225684
- Practice address
- 101 Civic Center LN
Lake Havasu City, AZ 86403-5607 - Phone
- (928) 302-5402
- Fax
- (928) 302-5906
- NPI assigned
- Jun 12, 2019
- Last updated
- Feb 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 225684 | AZ | |
| Gerontology Nurse Practitioner | 363LG0600X | 225684 | AZ | Primary |
Addresses
Primary practice location
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Mailing address
781 Rolling Hills Dr
Lake Havasu City, AZ 86406-7193
Phone (928) 208-6089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
2082 Mesquite Ave
Suite 100a
Lake Havasu City, AZ 86403-6710
Phone (928) 453-2727
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.61 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 88.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.85 of 100
- Quality
- 60.31
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 78.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225684 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Lakeside Heart and Vascular Center PLLC | Current | Accepting new patients | |
| Southwest Primary Care LTD | Current | Accepting new patients | |
| Executive Cardiac Arrhythmia Solutions, Inc | Past | Accepting new patients |
Locations
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1741 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 733-6351
1810 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (520) 855-5146
1987 McCulloch Blvd N
Ste 101
Lk Havasu Cty, AZ 86403
Phone (904) 994-5560
2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000
2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828
297 Lake Havasu Ave S
Ste 204
Lk Havasu Cty, AZ 86403
Phone (928) 453-1970
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
Interoperability endpoints
- brittney.mahnke.1@3291.direct.athenahealth.com
- https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1760652218
-
- Interventional Cardiology Physician
- Lake Havasu City, AZ
- NPI 1801194352
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1942691399
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
-
dba The Heart Rhythm Institute of Arizona
- Clinical Cardiac Electrophysiology Physician
- Phoenix, AZ
- NPI 1588109573
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1265091276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 ROLLING HILLS DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864067193",
"telephone_number": "928-208-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIVIC CENTER LN",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035607",
"telephone_number": "928-302-5402",
"fax_number": "928-302-5906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHNKE",
"first_name": "BRITTNEY",
"credential": "ACNP-AG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "225684",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AZ",
"license": "225684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.