Active NPI
Becky R Manning, APNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Lancaster, WI
National Provider Identifier
1285954297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4056-33
- Practice address
- 200 W Alona LN
Lancaster, WI 53813-2202 - Phone
- (608) 723-6357
- Fax
- (608) 723-4417
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4056-33 | WI | Primary |
| Nurse Practitioner | 363L00000X | 4056-33 | WI |
Addresses
Primary practice location
200 W Alona LN
Lancaster, WI 53813-2202
Mailing address
200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.26 of 100
- Quality
- 92.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 41.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4056 | WI | MD | Medical Physician Assistant |
| 4056-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Grant Dba Unified Community Services | Current | Accepting new patients | |
| County of Grant | Current | Accepting new patients | |
| County of Grant Dba Unified Community Services | Past | Accepting new patients |
Locations
1122 Professional Dr
Dodgeville, WI 53533
Phone (608) 935-2776
200 W Alona Ln
Lancaster, WI 53813
Phone (608) 723-6357
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Lancaster, WI
- NPI 1588618789
-
- Public Health or Welfare Agency
- Lancaster, WI
- NPI 1134281967
-
- Community/Behavioral Health Agency
- Dodgeville, WI
- NPI 1053468066
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lancaster, WI
- NPI 1255339867
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
- Critical Access Hospital
- Dodgeville, WI
- NPI 1487745501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1285954297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ALONA LN",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132202",
"telephone_number": "608-723-6357",
"fax_number": "608-723-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ALONA LN",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132202",
"telephone_number": "608-723-6357",
"fax_number": "608-723-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "BECKY",
"middle_name": "R",
"credential": "APNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "4056-33",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "4056-33",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.