Individual provider Active NPI

Jeff Allen Manley

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1225892706
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
301142 Issued in AZ
Practice address
14100 N 83Rd Ave Ste 100
Peoria, AZ 85381-4621
Phone
(623) 583-0232
Fax
(623) 583-1830
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301142 AZ Primary

Addresses

Primary practice location

14100 N 83Rd Ave Ste 100
Peoria, AZ 85381-4621

Mailing address

924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (480) 969-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240409001083 AZ Practitioner - Nurse Practitioner 7113365255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians
Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

14100 N 83Rd Ave
Suite 100 150
Peoria, AZ 85381-5653
Phone (623) 583-0232

1840 N 95TH Ave
Suite 132
Phoenix, AZ 85037-4445
Phone (623) 932-6950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301142AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Network Current Accepting new patients
Partners in Recovery, LLC CurrentSince Feb 11, 2024 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Apr 6, 2026 Accepting new patients
Southwest Network, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Partners in Recovery, LLC CurrentSince Feb 11, 2024 Accepting new patients
Southwest Network, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Apr 6, 2026 Accepting new patients

Locations

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

16251 N Cave Creek Rd
Phoenix, AZ 85032

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

20440 N 27th Ave
Phoenix, AZ 85027

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9015 N 3rd St
Phoenix, AZ 85020

8705 E McDowell Rd
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: jeff.manley@direct.azpir.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1225892706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014108",
            "telephone_number": "480-969-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814621",
            "telephone_number": "623-583-0232",
            "fax_number": "623-583-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "JEFF",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.