India Mancuso, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9119710 Issued in FL

Practice address

141 Webb Dr Ste 300
Davenport, FL 33837-3951

Phone

(863) 422-0020

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Right Path Pain and Spine Center PLLCGroup PAC ID 1355467168, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Right Path Pain and Spine Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Davenport, FL
  • NPI 1942520333
  Medicare reassignment Care Compare group
• Hughston Orthopaedic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Deland, FL
  • NPI 1659068377
  NPD (past)

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

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1437848595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WEBB DR STE 300",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEBB DR STE 300",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951",
            "telephone_number": "863-422-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "INDIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Llyamarie Maldonado Hernandez, RD
• Samuel Maldonado Torres
• Kevin Carlo Montalbo Manalo, FNP-C
• Abhijit Manaswi, MD
• Manaswi'S Orthopedic and Joint Replacement Institute PLLC
• Claudio Manubens, M.D.
• Daniel Mar Chong, A.T.C
• Amanda Marciano, PHARM.D.
• Maria Nina Concepcion MD PA
• Alexa Maria Marino, BSN, RN

• Physician Assistant in Davenport, FL
• Providers in Davenport, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.