Individual provider Active NPI

Caroline G Mansy, FNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1467457622
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113099 Issued in TN
Practice address
1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590
Phone
(443) 978-3000
Fax
(855) 274-7151
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 113099 TN Primary

Addresses

Primary practice location

1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590

Mailing address

1340 Belmont Ave Unit 503
Salisbury, MD 21804-4590
Phone (443) 978-3000

Other identifiers 1

IdentifierTypeStateIssuer
412959800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070706000287 MD Practitioner - Nurse Practitioner 6709986607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delmarva Diabetes Center LLCGroup PAC ID 4789018045, 2 clinicians

Practice addresses (Care Compare)

1340 Belmont Ave
Suite 503
Salisbury, MD 21804-4590
Phone (443) 978-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113099TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delmarva Diabetes Center, LLC CurrentSince Jan 2, 2020 Accepting new patients

Locations

1340 Belmont Ave
Unit 503
Salisbury, MD 21804
Phone (443) 978-3000

1340 Belmont Ave
Ste 503
Salisbury, MD 21804
Phone (443) 978-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBIIBD

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.

Hospital & facility affiliations 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1467457622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE UNIT 503",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044590",
            "telephone_number": "443-978-3000",
            "fax_number": "855-274-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE UNIT 503",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044590",
            "telephone_number": "443-978-3000",
            "fax_number": "855-274-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSY",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "113099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412959800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.