Individual provider Active NPI

David Paul Manley, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1225317282
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0009846 Issued in CO
Practice address
17575 Green Valley Ranch Blvd
Denver, CO 80249-7988
Phone
(254) 816-5646
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA12060 TX
Medical Physician Assistant 363AM0700X PA.0009846 CO Primary

Addresses

Primary practice location

17575 Green Valley Ranch Blvd
Denver, CO 80249-7988

Mailing address

11613 Great Abaco CT
El Paso, TX 79936-2174
Phone (720) 470-9087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240919002533 TX Practitioner - Physician Assistant 9931567096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Carenow Urgent Care, PLLCGroup PAC ID 2961742168, 24 clinicians

Practice addresses (Care Compare)

10765 Kenworthy St
Suite a
El Paso, TX 79924-1748
Phone (915) 320-4021

12371 Edgemere Blvd
El Paso, TX 79938-4877
Phone (915) 856-0008

1801 N Zaragoza Rd
El Paso, TX 79936-8042
Phone (915) 249-3106

7845 N Mesa St
Suite a
El Paso, TX 79932-1623
Phone (915) 206-4690

9100 Viscount Blvd
Suite H
El Paso, TX 79925-6529
Phone (915) 594-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12060TXMDMedical Physician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1225317282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11613 GREAT ABACO CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362174",
            "telephone_number": "720-470-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17575 GREEN VALLEY RANCH BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497988",
            "telephone_number": "254-816-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12060",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0009846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.