Jan C Mangelsen, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

CM000017 Issued in SD

Practice address

640 Flormann St
Suite 400
Rapid City, SD 57701

Phone

(605) 342-7400

Fax

(605) 342-8239

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Oglala Sioux Tribe

  • Obstetrics & Gynecology Physician
  • Rapid City, SD
  • NPI 1164503421
  NPD (past)
• Oglala Sioux Tribe

  • Family Medicine Physician
  • Pine Ridge, SD
  • NPI 1932824331
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720095474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 FLORMANN ST",
            "address_2": "SUITE 400",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-342-7400",
            "fax_number": "605-342-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 FLORMANN ST",
            "address_2": "SUITE 400",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-342-7400",
            "fax_number": "605-342-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGELSEN",
        "first_name": "JAN",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SD",
            "license": "CM000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makinze Maiden
• Heather Maier, MS
• Rieley Marie Maier
• Julie Jo Mairose, SLP
• Jill Marie Maliske, PA-C
• Manlove Psychiatric Group, P.C.
• Stephen Paul Manlove, MD
• Tara Mann, CDCT
• Kelly W Manning, MD
• Nicholas Mantei, PA-C

• Midwife in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Midwife in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.