Individual provider Active NPI

Marcela F Manta, CRNP

  • Nurse Practitioner
  • Reading, PA
National Provider Identifier
1215520986
Registry record updated Feb 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023225 Issued in PA
Practice address
1016 Helm LN
Reading, PA 19605-3301
Phone
(610) 914-0645
NPI assigned
Feb 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP023225 PA Primary

Addresses

Primary practice location

1016 Helm LN
Reading, PA 19605-3301

Mailing address

1016 Helm LN
Reading, PA 19605-3301
Phone (610) 914-0645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmanta@pennstatehealth.psu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260602003138 PA Practitioner - Nurse Practitioner 2567933443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1016 Helm LN
Reading, PA 19605-3301

214 Centerview Dr
Suite 250
Brentwood, TN 37027-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP023225PAMDNurse Practitioner

Organizations & group practices 1

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": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1215520986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 HELM LN",
            "city": "READING",
            "state": "PA",
            "postal_code": "196053301",
            "telephone_number": "610-914-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 HELM LN",
            "city": "READING",
            "state": "PA",
            "postal_code": "196053301",
            "telephone_number": "610-914-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTA",
        "first_name": "MARCELA",
        "middle_name": "F",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmanta@pennstatehealth.psu.edu",
            "affiliation": "N",
            "endpointDescription": "mmanta@pennstatehealth.psu.edu",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Bernville Rd",
            "city": "Reading",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196059453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.