Individual provider Active NPI

Manasseh Andrea Chibwe, FNP-BC, MSN, BSN, RN

  • Family Nurse Practitioner
  • Yerington, NV
National Provider Identifier
1164847760
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAPRN700970 Issued in NV
Practice address
213 S Whitacre St
Yerington, NV 89447-2561
Phone
(775) 463-2301
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAPRN700970 NV Primary

Addresses

Primary practice location

213 S Whitacre St
Yerington, NV 89447-2561

Mailing address

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140820002876 NV Practitioner - Nurse Practitioner 2264650043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians

Practice addresses (Care Compare)

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
TAPRN700970NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Apr 1, 2018 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Apr 1, 2018 Accepting new patients

Locations

1201 S Carson St
Carson City, NV 89701
Phone (775) 445-7330

1201 S Carson St
Ste 200
Carson City, NV 89701

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1164847760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S WHITACRE ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472561",
            "telephone_number": "775-463-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S WHITACRE ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472561",
            "telephone_number": "775-463-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBWE",
        "first_name": "MANASSEH",
        "middle_name": "ANDREA",
        "credential": "FNP-BC, MSN, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "TAPRN700970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

Verify at the official NPI Registry.