Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Mangino-Blanchard, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1811273980

Lisa Marie Mangino-Blanchard, CRNP is a Nurse Practitioner in Pomona, New Jersey. Qualified in 2001, 25 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
25
Licensed in
NJ, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

65 W Jimmie Leeds Rd Fl 1
Pomona, NJ 08240-9102
Phone: (609) 748-7089
Fax: (609) 652-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 51 N 39th St, Philadelphia, PA 19104-2640 — (215) 662-9595

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 26NJ01034600 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP007067 (PA)

Record details

NPI number1811273980
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 2, 2011
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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