Manju M Krishnamenon, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TAP4027 Issued in AZ

Practice address

1774 E Scorpio PL
Chandler, AZ 85249-3995

Phone

(602) 466-8281

NPI assigned

Apr 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Medical and Post-Acute Services LLCGroup PAC ID 5991164402, 6 clinicians

Zion Medical Group PLLCGroup PAC ID 1355566464, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health - Arizona General Hospital Hospital, Laveen, AZ, CCN 030136
• St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
• Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
• Bella Vita Health and Rehabilitation Center Nursing home, Glendale, AZ, CCN 035092

Merit-based Incentive Payment System (MIPS)

Final score

89.21 of 100Reported as group

Quality

76.88

Promoting interoperability

76

Improvement activities

40

Cost

73.83

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Care on PLLC

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1942819230
  Medicare reassignment NPD Authorized official
• Clark Medical and Post-Acute Services, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1437851417
  Medicare reassignment Care Compare group NPD
• Zion Medical Group PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1184049322
  Medicare reassignment Care Compare group NPD
• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Makonnen G Habtemariam PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1043547938
  Medicare reassignment NPD
• Maricopa Physicians PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1124599816
  Medicare reassignment NPD
• PV Mountain Medical PLLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1649733981
  Medicare reassignment NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Sacaton, AZ
  • NPI 1417237074
  NPD
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner

  NPD (past)

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

• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1053853978

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Goodyear, AZ
  • NPI 1083165849

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1114466950

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • General Acute Care Hospital
  • Laveen, AZ
  • NPI 1154748416
  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Mesa, AZ
  • NPI 1154872950

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1205378171

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Surprise, AZ
  • NPI 1235680034

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1275084030

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1447700968

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Chandler, AZ
  • NPI 1508317306

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Phoenix, AZ
  • NPI 1548711302

  Hospital

  Care Compare affiliation
• Agh Laveen LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1750831145

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1366733560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 E SCORPIO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493995",
            "telephone_number": "602-466-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 E SCORPIO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493995",
            "telephone_number": "602-466-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 W Seed Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Sacaton",
            "state": "AZ",
            "postal_code": "851475000",
            "country_code": "US",
            "telephone_number": "602-528-1200",
            "fax_number": "602-528-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAMENON",
        "first_name": "MANJU",
        "middle_name": "M",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP4027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67916040",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce W Krell, DPM
• Stephanie Kreun
• Jenna Kreuz, RBT
• Jennifer Krickeberg
• Manju Krishna Pillai, MD
• Kristal Corporation
• Dorothy Krupnick, R.D.
• Meagan Krupski
• Paige Kruse, RPH
• Mary-Kathryn Krzeszowski

• Adult Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.

Verify at the official NPI Registry.