CARISSA MANGUS (MD) – Family Medicine Physician, NPI 1326604570
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
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Provider Addresses for CARISSA MANGUS (MD)
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681983075
Phone:
Type: Mailing
PO BOX 151
ALBION, NE 686200151
Phone: (402) 395-5013
Fax: (402) 395-2327
Type: Mailing
1173 S 8TH ST
ALBION, NE 686201736
Phone: (402) 395-5013
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Ultragenyx Pharmaceutical Inc. ($15).
Total Amount
$45
General + Research + Ownership
Payments
4
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ultragenyx Pharmaceutical Inc. | $15 |
| PFIZER INC. | $14 |
| Medtronic, Inc. | $13 |
| Intuitive Surgical, Inc. | $3 |
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: 2022-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220823000821 | I | Family Practice | NE | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 24 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 25 | 25 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | 18 | $0 |
Insurance plans in this area (ZIP 68198)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| - | NE | |
| Family Practice | NE |
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