MICHAEL MANDRELL (M.D.) – Emergency Medicine Physician, NPI 1134547557

MICHAEL MANDRELL (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 'RS2014-0418 (NM). The NPI Number for MICHAEL MANDRELL (M.D.) is 1134547557

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MANDRELL (M.D.)
NPI
1134547557
Phone
(719) 584-4306
Address
400 W 16TH ST
Enumeration Date
2 April 2014
Last Update Date
30 June 2017

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7195844000
Graduation Year
2014 (12 years ago)
PAC ID
3173742681
Group Practice PAC ID
3870019524
Professional Enrollment ID
I20170724002471
Address ID
CO810032745PU400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,197 EMERGENCY MEDICINE in CO

Provider Addresses for MICHAEL MANDRELL (M.D.)

  • 400 W 16TH ST

    PUEBLO, CO 810032745

    Phone: (719) 584-4306

    Fax: (719) 584-4861

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-08-14 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170724002471IEmergency MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only213203$0
99285Emergency department visit with high level of medical decision making144144$0
99284Emergency department visit with moderate level of medical decision making9591$0
99291Critical care, first 30-74 minutes6262$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 81003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870019524View full group profile
NameSpecialtyState
Emergency MedicineCO
Nurse PractitionerCO
Emergency MedicineCO
Nurse PractitionerCO
Emergency MedicineWA
Emergency MedicineCO
Emergency MedicineOH
Emergency MedicineCO
Emergency MedicineCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Where can patients find MICHAEL MANDRELL (M.D.)'s NPI?
You can confirm MICHAEL MANDRELL (M.D.) with NPI 1134547557; it appears in the national provider directory.
Is MICHAEL MANDRELL (M.D.)'s NPI currently valid?
The extract we use shows MICHAEL MANDRELL (M.D.) as active.
What does MICHAEL MANDRELL (M.D.) treat or focus on?
Patients typically see MICHAEL MANDRELL (M.D.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL MANDRELL (M.D.)?
The snapshot lists Pueblo, Colorado for MICHAEL MANDRELL (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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