NPIMap

Individual provider Active NPI

Jessica Mangum, FNP

  • Family Nurse Practitioner
  • Livingston, MT
National Provider Identifier
1619847035
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
272987 Issued in MT
Practice address
112 W Lewis St
Livingston, MT 59047-3066
Phone
(406) 222-1111
NPI assigned
Nov 10, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 272987 MT Primary

Addresses

Primary practice location

112 W Lewis St
Livingston, MT 59047-3066

Mailing address

112 W Lewis St
Livingston, MT 59047-3066
Phone (406) 222-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206001452 MT Practitioner - Nurse Practitioner 2961981220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Partners IncGroup PAC ID 5799681482, 34 clinicians

Practice addresses (Care Compare)

112 W Lewis St
Livingston, MT 59047-3011

112 W Lewis St
Livingston, MT 59047-3066
Phone (406) 222-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272987MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center Incorporated CurrentSince Jan 26, 2026 Accepting new patients
Bighorn Valley Health Center Incorporated CurrentSince Jan 26, 2026 Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients
Bighorn Valley Health Center, Incorporated Past Accepting new patients
Bighorn Valley Health Center Incorporated Past Accepting new patients

Locations

19 E Main St
Belgrade, MT 59714
Phone (406) 222-1111

410 Triple Crown St
Rm A108
Belgrade, MT 59714
Phone (406) 388-3311

1695 Tschache Ln
Bozeman, MT 59715
Phone (406) 222-1111

1515 W Bell St
Ste 15
Glendive, MT 59330
Phone (406) 345-5336

10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845

1223 N Center Ave
Hardin, MT 59034
Phone (406) 665-4103

16 N Miles Ave
Ste 101
Hardin, MT 59034
Phone (406) 237-8270

311 W Main St
Lewistown, MT 59457
Phone (406) 535-6545

112 W Lewis St
Livingston, MT 59047
Phone (406) 222-1111

601 Main St
Miles City, MT 59301
Phone (406) 874-8700

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1619847035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W LEWIS ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473066",
            "telephone_number": "406-222-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W LEWIS ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590473066",
            "telephone_number": "406-222-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "272987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.