NPIMap

Individual provider Active NPI

Andrew Philip Manista, MD

  • Orthopaedic Surgery Physician
  • Olympia, WA
National Provider Identifier
1316084056
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD60023058 Issued in WA
Practice address
3909 9TH Ave SW
Olympia, WA 98502-5134
Phone
(360) 570-3462
Fax
(360) 339-7266
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60023058 WA Primary

Addresses

Primary practice location

3909 9TH Ave SW
Olympia, WA 98502-5134

Mailing address

PO Box 368
Olympia, WA 98507-0368
Phone (360) 491-8439

Other practice location 1

3901 Capital Mall Dr SW Ste B
Olympia, WA 98502-8654
Phone (360) 528-8571

Other identifiers 1

IdentifierTypeStateIssuer
MD60023058OtherWAWASHINGTON STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000370 WA Practitioner - Orthopedic Surgery 7113019811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3901 Capital Mall Dr SW
Olympia, WA 98502-8654

3909 9TH Ave SW
Olympia, WA 98502-5134
Phone (360) 570-3460

615 Lilly Rd NE
Olympia, WA 98506-5117
Phone (360) 491-4211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion467
Laminectomy or laminotomy (partial removal of spine bones)136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates, PLLC CurrentSince Aug 25, 2008 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Aug 25, 2008 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Apr 1, 2019 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Multicare Health System Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

3909 9th Ave SW
Olympia, WA 98502
Phone (360) 570-3460

404 Yauger Way SW
Ste 100
Olympia, WA 98502
Phone (360) 786-8990

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

939 Mountain View Dr
Ste 100
Shelton, WA 98584
Phone (360) 426-2653

Interoperability endpoints

  • Direct secure messaging: andrew.manista.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1316084056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 9TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025134",
            "telephone_number": "360-570-3462",
            "fax_number": "360-339-7266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Capital Mall Dr SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-528-8571",
            "fax_number": "360-528-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANISTA",
        "first_name": "ANDREW",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60023058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "MD60023058",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.