Individual provider Active NPI

Rance Kendreick Manalo

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1396550539
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
322036 Issued in AZ
Practice address
21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone
(928) 772-2582
Fax
(877) 319-1729
NPI assigned
Feb 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 322036 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995

Mailing address

21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone (928) 772-2582

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
I20250423000261 AZ Practitioner - Nurse Practitioner 8426573411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

560 N Camino Mercado
Suite 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322036AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Jun 9, 2025 Accepting new patients

Locations

560 N Camino Mercado
Casa Grande, AZ 85122

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

725 W Elliot Rd
Ste 105
Gilbert, AZ 85233
Phone (480) 963-6114

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

21321 E Ocotillo Rd
Ste 133134
Queen Creek, AZ 85142
Phone (480) 987-5525

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1396550539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 133",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425995",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 133",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425995",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "RANCE",
        "middle_name": "KENDREICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "322036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.