BINDU MANGAT (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1578804910

BINDU MANGAT (APRN) is a healthcare provider. based in Waukegan, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 041388152 (IL). The NPI Number for BINDU MANGAT (APRN) is 1578804910

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BINDU MANGAT (APRN)
NPI
1578804910
Phone
Not provided
Address
3002 GRAND AVE
Enumeration Date
11 March 2013
Last Update Date
10 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474415600
Graduation Year
2020 (6 years ago)
PAC ID
0648688036
Group Practice PAC ID
0840289740
Professional Enrollment ID
I20210423002002
Address ID
IL600624118NO1135XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for BINDU MANGAT (APRN)

  • 3002 GRAND AVE

    WAUKEGAN, IL 600852321

    Phone:

    Type: Mailing

  • 3010 GRAND AVE

    WAUKEGAN, IL 600852321

    Phone: (847) 377-8000

    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: 2021-04-23

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
I20210423002002INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60085)

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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: 0840289740View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerMA
Mental Health CounselorWI
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BINDU MANGAT (APRN)?
BINDU MANGAT (APRN) — NPI 1578804910 — is the standard way to identify this listing.
Does CMS list BINDU MANGAT (APRN) as active?
Yes — BINDU MANGAT (APRN) is active in the NPI listing used on this page.
What is BINDU MANGAT (APRN)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for BINDU MANGAT (APRN) here. Clinical services aligned with this taxonomy classification.
What address line appears for BINDU MANGAT (APRN)?
BINDU MANGAT (APRN)'s geographic hint is Waukegan, Illinois in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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