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

Tracy D Mangan, NP

Individual provider Nurse Practitioner · NPI 1225413487

Tracy D Mangan, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2015, 11 years ago. Practices with Cameron Memorial Community Hospital Inc, a 85-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
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

10343 Dawsons Creek Blvd Ste A
Fort Wayne, IN 46825-1906
Phone: (260) 203-9600
Fax: (260) 739-6167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71005609A (IN)

Record details

NPI number1225413487
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESJuly 29, 2015
Mailing address10343 Dawsons Creek Blvd, Suite A, Fort Wayne, IN 46825-1906

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cameron Memorial Community Hospital Inc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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