Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shahida Mangelsdorf, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1760868707

Shahida Mangelsdorf, AGACNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2014, 12 years ago. Practices with Sjhmc Physician Services, a 665-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

500 W Thomas Rd Ste 500
Phoenix, AZ 85013-4220
Phone: (602) 406-4000
Fax: (602) 406-6498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP7695 (AZ)

Record details

NPI number1760868707
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedJuly 31, 2015
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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