STEPHANIE MANDOS (CRNP) – Nurse Practitioner, NPI 1417472333
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for STEPHANIE MANDOS (CRNP)
30 LAWRENCE RD STE 500
BROOMALL, PA 190083301
Phone: (610) 338-2722
Type: Mailing
200, East State Street, Media, Delaware County, Pennsylvania, 19063, United States
MEDIA, PA 190633434
Phone: (610) 891-9277
Type: Location
Baltimore Pike, Media, Delaware County, Pennsylvania, 19065, United States
MEDIA, PA 190635139
Phone: (610) 891-9277
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $787.
Total Amount is formed as General ($787) + Research ($0) + Ownership ($0) = $787.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Lilly USA, LLC ($158).
Total Amount
$787
General + Research + Ownership
Payments
36
Total payment records
General Amount
$787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $158 |
| UCB, Inc. | $149 |
| Sumitomo Pharma America, Inc. | $49 |
| Otsuka America Pharmaceutical, Inc. | $40 |
| Novo Nordisk Inc | $37 |
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: 2018-03-06
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 |
|---|---|---|---|---|
| I20180306001808 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 140 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 71 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 65 | 65 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 32 | 32 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
Insurance plans in this area (ZIP 19008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | DE | |
| Nuclear Medicine, Diagnostic Radiology | DE | |
| Occupational Therapist In Private Practice | DE | |
| Diagnostic Radiology | DE | |
| Physician Assistant | DE | |
| Internal Medicine, Pediatric Medicine | PA | |
| Diagnostic Radiology | DE | |
| Diagnostic Radiology | NC | |
| G A S T R O E N T E R O L O G Y | PA |
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