Individual provider Active NPI

Rose Gina Mangones

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1386350007
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09220783 Issued in FL
Practice address
2608 Serenity Cir N
Fort Pierce, FL 34981-5047
Phone
(772) 240-5876
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09220783 FL Primary

Addresses

Primary practice location

2608 Serenity Cir N
Fort Pierce, FL 34981-5047

Mailing address

2608 Serenity Cir N
Fort Pierce, FL 34981-5047
Phone (772) 240-5876

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
I20231101002549 FL Practitioner - Nurse Practitioner 1951757657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maureen a Zelinka MD PAGroup PAC ID 1355245036, 3 clinicians

Practice addresses (Care Compare)

4995 S Hwy US 1
Fort Pierce, FL 34982-7079
Phone (772) 465-3225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09220783FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen a Zelinka, MD, PA CurrentSince Oct 12, 2023 Accepting new patients

Locations

4995 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 439-6011

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.

Hospital & facility affiliations 1

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1386350007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 SERENITY CIR N",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815047",
            "telephone_number": "772-240-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 SERENITY CIR N",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815047",
            "telephone_number": "772-240-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGONES",
        "first_name": "ROSE GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F09220783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.