Kristen L Mangione (NPI# 1952688780, PAC ID# 3274708763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952688780 |
| PAC ID by PECOS | 3274708763 |
| Professional Enrollment ID | I20120430000312 |
| Full Name | Kristen L Mangione |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
2101 Main St Longmont CO 80501-1406 |
| Phone Number | 7207458020 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060128 | LONGS PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 5965 Firestone Blvd, Firestone, CO 80504-6607 | 3036784340 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Longmont, CO 80501-3128 | 3037761234 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Fl 3, Longmont, CO 80501-3128 | 7204943123 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2101 Main St, Longmont, CO 80501-1406 | 7207458020 | POUDRE VALLEY MEDICAL GROUP LLC |
| 3850 N Grant Ave, 200 Uchmg Urgent Care Loveland, Loveland, CO 80538-8431 | 9706245170 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
2101 MAIN ST |
| City | LONGMONT |
| State | CO |
| Zip | 80501-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyle M Pfeifer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Sean J Sands | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Lacey J Honeycutt | Optometry | Abba Eye Care PC | 2101 Main St, Suite D, Alamosa, CO 81101-2685 |
| Alyssa L Gonzalez | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Alberto Noe Martinez | Family Medicine | 2101 Main St, Junction, TX 76849-3321 | |
| William Oligmueller | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Robert V Nouhan | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Claudia M Martin-williams | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Catherine E Cavender | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Thomas E Ducker | Gastroenterology | 2101 Main St, Junction, TX 76849-3024 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Levine | Geriatric Medicine | Life Care Physician Services LLC | 2451 Pratt St, Longmont, CO 80501-1123 |
| Daniel R Zenk | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Brittany A Hunter | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Peter C Smith | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Emily Hsu | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Benjamin Sutton Clower | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Marie E Bush | Preventative Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Eric M Benson | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Julie Ann Fischer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Stephanie M Dettlebach | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Find all physicians in zip 80501 | |||
| City | LONGMONT |
| Zip Code | 80501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGMONT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristen L Mangione.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.