Amanda Manno

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704263072 Issued in MI

Practice address

718 N Macomb St
Monroe, MI 48162-7815

Phone

(734) 240-5238

Fax

(734) 240-2573

NPI assigned

Jul 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amanda Fanning Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Promedica Central Corporation of Michigan

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1588624696

  MI

  Medicare reassignment Care Compare group NPD
• Center for Digestive Care LLC

  • Ambulatory Surgical Clinic/Center
  • Ypsilanti, MI
  • NPI 1164528527

  MI

  Medicare reassignment NPD
• Huron Gastroenterology Associates PC

  • Gastroenterology Physician
  • Ypsilanti, MI
  • NPI 1144335639

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Huron Gastroenterology Associates PC

  • Gastroenterology Physician
  • Howell, MI
  • NPI 1265635593
  NPD
• Mercy Memorial Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
  • NPI 1366483745

  Nurse Anesthetist, Certified Registered

  NPD
• Mercy Memorial Hospital Corporation

  • Specialist
  • Monroe, MI
  • NPI 1376997551
  NPD
• Munson Healthcare Manistee Hospital

  • Anesthesiology Physician
  • Manistee, MI
  • NPI 1649457771

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Mercy Memorial Hospital Corporatio

  • General Acute Care Hospital
  • Monroe, MI
  • NPI 1811097223

  Hospital

  Care Compare affiliation
• Mercy Memorial Hospital Corporation

  • Specialist
  • Monroe, MI
  • NPI 1376997551

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1114367182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 RIVER ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602729",
            "telephone_number": "231-398-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-240-5238",
            "fax_number": "734-240-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNO",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2023-11-03",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "195903-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704263072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanno151867@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FANNING",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Maki
• Edmond Mala, MD
• Michaela Malko, MSN, APRN, FNP-C
• Leanne Mann, LLBSW
• Carolyn Manning-Lowe, MSW, LBSW
• Katelynn Marie Marble
• Leah Mae Marcero, RD
• Rebekah Lynn March Faris
• March Medical Associates PC
• Michael Louis March I, DO

• Certified Registered Nurse Anesthetist in Monroe, MI
• Providers in Monroe, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.