DR. TAMMY LEA MANGUAL (DNP, ARNP-C) – Adult Health Nurse Practitioner, NPI 1013942473
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for DR. TAMMY LEA MANGUAL (DNP, ARNP-C)
445 PINEDA CT STE 100
MELBOURNE, FL 329407555
Phone: (212) 437-0603
Type: Location
156 CLEMENTE DR
SATELLITE BEACH, FL 329375709
Phone: (321) 432-0573
Type: Mailing
926 MAIN ST
NASHVILLE, TN 372063614
Phone: (615) 436-9060
Fax: (615) 235-9725
Type: Location
4221, Brantley Circle, Rockledge, Brevard County, Florida, 32955, United States
ROCKLEDGE, FL 329554770
Phone: (321) 432-0573
Type: Mailing
Telecom Drive, Temple Terrace, Hillsborough County, Florida, 33637, United States
TEMPLE TERRACE, FL 336370904
Phone: (813) 871-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060227000035 | I | Nurse Practitioner | FL | TBD |
| I20251021002354 | I | Nurse Practitioner | CA | TBD |
| I20251111001583 | I | Nurse Practitioner | WA | TBD |
| I20251130000125 | I | Nurse Practitioner | OR | TBD |
| I20251231002465 | I | Nurse Practitioner | UT | TBD |
| I20260202000150 | I | Nurse Practitioner | ID | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32940)
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