Individual provider Active NPI

Erlene Ann Manning, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Utica, NY
National Provider Identifier
1295440030
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404685 Issued in NY
Practice address
500 Whitesboro St
Utica, NY 13502-3015
Phone
(315) 724-5168
Fax
(315) 724-6582
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 404685 NY Primary

Addresses

Primary practice location

500 Whitesboro St
Utica, NY 13502-3015

Mailing address

500 Whitesboro St
Utica, NY 13502-3015
Phone (315) 724-5168

Other identifiers 1

IdentifierTypeStateIssuer
404685OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 3157246582 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240413000148 NY Practitioner - Nurse Practitioner 1052750825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helio Health IncGroup PAC ID 4789903147, 30 clinicians

Practice addresses (Care Compare)

329 N Salina St
Suite 200
Syracuse, NY 13203-1835
Phone (315) 471-1564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Helio Health, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Insight House Chemical Dependency Services Inc PastSince Jan 22, 2023 Accepting new patients
Helio Health, Inc. PastSince Dec 9, 2019 Accepting new patients

Locations

329 N Salina St
Ste 200
Syracuse, NY 13203

555 E Genesee St
Syracuse, NY 13202
Phone (315) 476-7441

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, 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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1295440030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168",
            "fax_number": "315-724-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WHITESBORO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023015",
            "telephone_number": "315-724-5168",
            "fax_number": "315-724-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ERLENE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "404685",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3157246582",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Whitesboro St",
            "city": "Utica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "135023015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.