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

Stephanie C Mangual Leon, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801585385

Stephanie C Mangual Leon, NP is a Nurse Practitioner in Salem, Oregon. Qualified in 2023, 3 years ago. Practices with Rosebud Indian Health Service, a 78-clinician group and accepts Medicare assignment. Licensed in Arizona, New York and Oregon.

Years since qualifying
3
Licensed in
AZ, NY, OR
In the registry since
2023
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

255 Lancaster Dr NE
Salem, OR 97301-5155
Phone: (787) 298-7480
Fax: (503) 364-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406522 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10014644 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 231604 (AZ)

Record details

NPI number1801585385
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 2, 2023
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rosebud Indian Health Service — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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