SIIX MANGERY – Psychiatric/Mental Health Nurse Practitioner, NPI 1043089550

SIIX MANGERY is a healthcare provider. based in Irwin, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP028982 (PA). The NPI Number for SIIX MANGERY is 1043089550

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SIIX MANGERY
NPI
1043089550
Phone
(724) 382-4941
Address
25 N THOMPSON LN STE E
Enumeration Date
26 December 2023
Last Update Date
26 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7243824941
Graduation Year
2023 (3 years ago)
PAC ID
5294186730
Group Practice PAC ID
8820401896
Professional Enrollment ID
I20240613002130
Address ID
PA156429305IR25XXXLNXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for SIIX MANGERY

  • 25 N THOMPSON LN STE E

    IRWIN, PA 156429305

    Phone: (724) 382-4941

    Fax: (724) 590-5121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $553.

Total Amount is formed as General ($553) + Research ($0) + Ownership ($0) = $553.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($246).

Total Amount

$553

General + Research + Ownership

Payments

41

Total payment records

General Amount

$553

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

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: 2024-06-13

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
I20240613002130INurse PractitionerPATBD

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 15642)

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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: 8820401896View full group profile
NameSpecialtyState
Nurse PractitionerPA
Mental Health CounselorPA
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Physician AssistantPA
Mental Health CounselorPA
Nurse PractitionerPA
Nurse PractitionerPA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

Is SIIX MANGERY listed with a National Provider Identifier?
Yes — SIIX MANGERY has NPI 1043089550 on file in the registry.
Active or inactive — what applies to SIIX MANGERY?
You should see SIIX MANGERY as active in CMS-hosted NPPES data.
How would a patient describe SIIX MANGERY's focus?
For SIIX MANGERY, the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SIIX MANGERY?
Travel planning: use Irwin, Pennsylvania as the reference point for SIIX MANGERY, then confirm.
When was this NPI issued?
Enumeration for SIIX MANGERY is noted as December 26, 2023 where the registry provides it.

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