Individual provider Active NPI

Claire Marie Manchester, PA

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1083952238
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0259 Issued in NV
Practice address
10652 S Eastern Ave
Ste a
Henderson, NV 89052-4952
Phone
(702) 476-2800
Fax
(702) 476-2040
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0259 NV Primary

Addresses

Primary practice location

10652 S Eastern Ave
Ste a
Henderson, NV 89052-4952

Mailing address

PO Box 743752
Atlanta, GA 30374-3752
Phone (702) 476-2800

Other identifiers 2

IdentifierTypeStateIssuer
1083952238MedicaidNV
V109258OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150106000073 NV Practitioner - Physician Assistant 2860715570 Reassigns benefits to 1 organization
I20241010001316 FL Practitioner - Physician Assistant 2860715570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

10081 W Oakland Park Blvd
Unit 1
Sunrise, FL 33351-6919
Phone (954) 579-6858

1200 W Yamato Rd
Suite A7
Boca Raton, FL 33431-4429
Phone (561) 288-0722

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

16040 Pines Blvd
Pembroke Pines, FL 33027-1171
Phone (954) 301-4988

1809 N University Dr
Coral Springs, FL 33071-6001
Phone (954) 510-1900

195 N Federal Hwy
Suite B
Ft Lauderdale, FL 33301-1110
Phone (954) 281-9947

2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880

3470 NW 62ND Ave
Margate, FL 33063-8311
Phone (954) 972-6868

4036 W Hillsboro Blvd
Deer Field Beach, FL 33442-9416
Phone (954) 428-3880

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

4640 W Commercial Blvd
Tamarac, FL 33319-3314
Phone (954) 425-9449

5817 N University Dr
Tamarac, FL 33321-4633
Phone (954) 720-1111

6240 Coral Ridge Dr
Suite 105
Coral Springs, FL 33076-3390
Phone (954) 340-6898

6300 N Andrews Ave
Fort Lauderdale, FL 33309-2130
Phone (954) 492-2035

7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Nov 1, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Physician Assistant CurrentSince Apr 1, 2017 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1083952238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743752",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743752",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 S EASTERN AVE",
            "address_2": "STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524952",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "CLAIRE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083952238",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V109258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.