Brian Mangenje, FNP-BC - Medicare Nurse Practitioner in Detroit, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Detroit
Brian Mangenje, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. His current practice location is 2888 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 875-4200.

Brian Mangenje is licensed to practice in Michigan (license number 4704278568) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134873524.

Contact Information

Brian Mangenje, FNP-BC
2888 W Grand Blvd,
Detroit, MI 48202-2612
(313) 875-4200
(313) 875-5611

Map and Direction




Provider's Profile

Full NameBrian Mangenje
GenderMale
SpecialityNurse Practitioner - Family
Location2888 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134873524
  • Provider Enumeration Date: 02/05/2022
  • Last Update Date: 04/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113449166
  • Enrollment ID: I20250319001313

Medical Identifiers

Medical identifiers for Brian Mangenje such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134873524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704278568 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Mangenje allows following entities to bill medicare on his behalf.
Entity NameThe Wellness Plan Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043373244
PECOS PAC ID: 1052380201
Enrollment ID: O20040925000098
Entity NameNorthstar Anesthesia of Michigan III PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NameNsa Pain Services of Michigan III, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376169524
PECOS PAC ID: 8921428996
Enrollment ID: O20201013000578
Entity NameChanging Lives Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144162835
PECOS PAC ID: 4981174000
Enrollment ID: O20260529000590

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Mangenje is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian Mangenje, FNP-BC
31251 Broderick Dr,
Chesterfield, MI 48051-1806

Ph: (248) 413-5013		Brian Mangenje, FNP-BC
2888 W Grand Blvd,
Detroit, MI 48202-2612

Ph: (313) 875-4200

Reviews and Comments


Nurse Practitioner Nurses in Detroit, MI

Catherine Ann Wenz, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16411 Curtis St, Detroit, MI 48235
Phone: 313-838-6822    
Jaina Sabu Samuel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22101 Moross Rd, Detroit, MI 48236
Phone: 313-343-4000    
Caitlin N Yoder,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243
Phone: 888-731-8994    
Mikayla William, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Amber Marroquin, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Michelle M Wojek, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Renaissance Ctr, Suite 2066, Detroit, MI 48243
Phone: 888-731-8994    
Tiwanna Jeaninne Williams, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204
Phone: 313-824-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.