SAMUEL ALEXANDER MINGLE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275067183

SAMUEL ALEXANDER MINGLE (PMHNP-BC) is a healthcare provider. based in Aurora, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. APN.0993046-NP (CO). The NPI Number for SAMUEL ALEXANDER MINGLE (PMHNP-BC) is 1275067183

Main info

Male
9 Years Of Experience
Name
SAMUEL ALEXANDER MINGLE (PMHNP-BC)
NPI
1275067183
Phone
(303) 617-2300
Address
791 CHAMBERS RD
Enumeration Date
18 April 2017
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037201845
Graduation Year
2017 (9 years ago)
PAC ID
9638405681
Group Practice PAC ID
9133453434
Professional Enrollment ID
I20190729001652
Address ID
CO802127418DE4704XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for SAMUEL ALEXANDER MINGLE (PMHNP-BC)

  • 791 CHAMBERS RD

    AURORA, CO 800117112

    Phone: (303) 617-2300

    Type: Location

  • 93, Columbine Drive, Bailey, Park County, Colorado, 80421, United States

    BAILEY, CO 804211894

    Phone: (904) 405-5600

    Type: Mailing

  • Aurora Mental Health Center - Viewpoint Plaza Center, 11059, East Bethany Drive, Aurora, Arapahoe County, Colorado, 80014, United States

    AURORA, CO 800142622

    Phone: (904) 405-5600

    Type: Location

  • 1290 CHAMBERS RD

    AURORA, CO 800117117

    Phone: (303) 617-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($67).

Total Amount

$285

General + Research + Ownership

Payments

12

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-07-29

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
I20190729001652INurse PractitionerCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2716$0
View full utilization report →

Insurance plans in this area (ZIP 80011)

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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: 9133453434View full group profile

Reviews

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Frequently asked questions

Where can patients find SAMUEL ALEXANDER MINGLE (PMHNP-BC)'s NPI?
You can confirm SAMUEL ALEXANDER MINGLE (PMHNP-BC) with NPI 1275067183; it appears in the national provider directory.
Is SAMUEL ALEXANDER MINGLE (PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SAMUEL ALEXANDER MINGLE (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for SAMUEL ALEXANDER MINGLE (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where is SAMUEL ALEXANDER MINGLE (PMHNP-BC)'s primary listing?
We display Aurora, Colorado because that is what the record indicates for SAMUEL ALEXANDER MINGLE (PMHNP-BC).
How can I contact SAMUEL ALEXANDER MINGLE (PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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