Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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ED Fortune Aguilos Mangio, AGNP-BC

Individual provider Nurse Practitioner · NPI 1659700599

ED Fortune Aguilos Mangio, AGNP-BC is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2013, 13 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
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Practice location Address checks out

119 Belmont St
Worcester, MA 01605-2903
Phone: (508) 334-8515
Fax: (508) 334-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 235 North Pearl St, Brockton, MA 02301 — (508) 427-3000
  • 100 South St, Southbridge, MA 01550-4051 — (508) 909-7733
  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-8515

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2304159 (MA)

Record details

NPI number1659700599
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedNovember 1, 2013
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Worcester