Robert K Mannel, M.D.

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

ME128134 Issued in FL

Practice address

1680 The Greens Way Ste 200
Jacksonville Beach, FL 32250-1422

Phone

(904) 800-7380

NPI assigned

Apr 26, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA, NE, CO, ID, AZ, MT7 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 7

Specialty

Neurology

Education

University of Florida College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pure Infusion Suites of Montana LLCGroup PAC ID 6608119607, 4 clinicians

Florida Memory Care and Neurology Services LLCGroup PAC ID 1951719459, 6 clinicians

Pure Healthcare of Georgia LLCGroup PAC ID 4385030170, 3 clinicians

Pure Healthcare of Florida LLCGroup PAC ID 8729496500, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344
• Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140
• Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: memorytreatmentcenter.robertmannel@149496.advancedmd-direct.com

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.

• Florida Memory Care and Neurology Services LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
  • NPI 1700479094

  FL

  Medicare reassignment Care Compare group NPD
• Pure Healthcare of Florida LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
  • NPI 1093308397

  FL

  Medicare reassignment Care Compare group NPD
• Pure Healthcare of Georgia LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1063184422

  GA

  Medicare reassignment Care Compare group NPD
• Pure Infusion Suites of Montana LLC

  • Multi-Specialty Clinic/Center
  • Billings, MT
  • NPI 1588137228

  MT

  Medicare reassignment Care Compare group NPD
• Symphony Specialty Group, LLC

  • Specialist
  • Jacksonville, FL
  • NPI 1831878735

  FL

  Medicare reassignment NPD
• Pure Healthcare of Arizona LLC

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1619649076

  AZ

  Medicare reassignment NPD
• Pure Healthcare of Colorado LLC

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1609400407

  CO

  Medicare reassignment NPD
• Pure Healthcare of Idaho LLC

  • Multi-Specialty Clinic/Center
  • Boise, ID
  • NPI 1568005809

  ID

  Medicare reassignment NPD
• Pure Healthcare of Nebraska LLC

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1275278392

  NE

  Medicare reassignment NPD
• Jacksonville Hospitalists PA

  • Hospitalist Physician
  • Jacksonville, FL
  • NPI 1871535492
  NPD
• Pure Infusion of Florida LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
  • NPI 1164304523
  NPD
• Pure Infusion of Georgia LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1982586343
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Medical Center of Nassau Inc

  • General Acute Care Hospital
  • Fernandina Beach, FL
  • NPI 1518024462

  Hospital

  Care Compare affiliation
• Baptist Medical Center of the Beaches, Inc

  • General Acute Care Hospital
  • Jacksonville Beach, FL
  • NPI 1821155912

  Hospital

  Care Compare affiliation
• Bravery NE FL LLC

  • Home Health Agency
  • Saint Augustine, FL
  • NPI 1619742657
  Care Compare affiliation
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413

  Inpatient rehabilitation facility

  Care Compare affiliation
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748

  Inpatient rehabilitation facility

  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1093073181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044765",
            "telephone_number": "904-308-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 THE GREENS WAY STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501422",
            "telephone_number": "904-800-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 N 120th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681642527",
            "country_code": "US",
            "telephone_number": "402-281-0880",
            "fax_number": "402-939-0427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "598 Nancy St NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601375",
            "country_code": "US",
            "telephone_number": "770-742-6333",
            "fax_number": "678-310-1541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28420 Bonita Crossings Blvd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341353203",
            "country_code": "US",
            "telephone_number": "239-235-0380",
            "fax_number": "239-237-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Perimeter Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303411318",
            "country_code": "US",
            "telephone_number": "770-847-8900",
            "fax_number": "678-802-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Sierra Meadows Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137328",
            "country_code": "US",
            "telephone_number": "239-744-2175",
            "fax_number": "239-307-2681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Brookshire Blvd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026751",
            "country_code": "US",
            "telephone_number": "406-702-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Winne Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014900",
            "country_code": "US",
            "telephone_number": "406-206-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 29th St S Ste 218",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055315",
            "country_code": "US",
            "telephone_number": "406-384-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNEL",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME128134",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME128134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina-Marie Nolan Malejko, ARNP
• Khosrow Maleki, M.D.
• Michele Malnove, LMHC
• Kimberly S Manek, MD
• Mardi Eden Mangus, DPT
• Mark a Messinese MD PA
• Marsh Landing Behavioral Group Inc
• Alisia Shart Martin, MD
• Shakela Martin, DMD
• Sonja George Martin, MOT

• All providers in Jacksonville Beach, FL
• Vascular Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.