Michelle Lee Manthe, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 401 Issued in AR

Practice address

5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410

Phone

(479) 966-7331

Fax

(855) 618-2364

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as group

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1811135809
  NPD (past)
• Totem Health PLLC

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1770100752
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1194990366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W PERSIMMON ST STE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563383",
            "telephone_number": "479-636-7192",
            "fax_number": "479-631-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W SUNSET AVE STE 157",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624410",
            "telephone_number": "479-966-7331",
            "fax_number": "855-618-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHE",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA 401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Keith Mancinelli, CNIM
• Haylee Mangum
• James David Manley, CRNA
• Lance A Manning, MD
• Manning,Johnson & Spencer, PA
• Christopher Mantyh, M.D.
• Juan Pablo Manzanares
• John Kendall Maravich, D.D.S.
• Kelly Saviers Marconi, M.S., CCC-SLP
• Nadia F Marconi, PT, PHD, DPT

• Medical Physician Assistant in Springdale, AR
• Providers in Springdale, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.