ED FORTUNE AGUILOS MANGIO (AGNP-BC) – Medical Physician Assistant, NPI 1659700599
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for ED FORTUNE AGUILOS MANGIO (AGNP-BC)
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
119 BELMONT ST
WORCESTER, MA 016052903
Phone: (508) 334-8515
Fax: (508) 334-6490
Type: Location
6001 E BROAD ST
COLUMBUS, OH 432131502
Phone: (614) 234-6000
Type: Mailing
800 WASHINGTON ST
NORWOOD, MA 020623487
Phone: (781) 278-6260
Type: Location
100 South St
Southbridge, MA 015504051
Phone: (508) 909-7733
Fax: (508) 909-7735
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-8515
Fax: (508) 334-6490
Type: Location
235 North Pearl St
Brockton, MA 02301
Phone: (508) 427-3000
Fax: (508) 427-2209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-02-24 • Largest payer in this snapshot: PFIZER INC. ($53).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $53 |
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: 2016-02-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160203001759 | I | Nurse Practitioner | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 244 | 236 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 125 | 123 | $0 |
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Diagnostic Radiology | MA | |
| Anesthesiology, Pain Management | MA | |
| Physician Assistant | MA | |
| Internal Medicine, Infectious Disease | MA | |
| Physician Assistant | MA | |
| Hospitalist, Internal Medicine | MA | |
| Pulmonary Disease, Infectious Disease | MA | |
| Pulmonary Disease, Critical Care (Intensivists) | MA | |
| Physician Assistant | MA |
Reviews
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