Stages Health & Wellness, LLC
NPI 1417464918ActiveOrganization· Nurse Practitioner, Family· Lakeland, FL
Nurse Practitioner, Family in Lakeland, Florida, registered in NPPES in January 2018. The authorized official on file is Monique L. Manderson, FNP-C, PMHNP-BC, Ceo/Founder.
Overview
| NPI | 1417464918 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2018 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209.012605 | IL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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