Individual provider Active NPI

Nancy Manubay, PA-C

  • Medical Physician Assistant
  • Sinking Spring, PA
National Provider Identifier
1477517464
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003451L Issued in PA
Practice address
4400 Penn Ave
Sinking Spring, PA 19608-8621
Phone
(610) 670-2522
Fax
(610) 670-7736
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA003451L PA Primary

Addresses

Primary practice location

4400 Penn Ave
Sinking Spring, PA 19608-8621

Mailing address

137 Grande Blvd
Sinking Spring, PA 19608-9348
Phone (610) 217-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031204000716 PA Practitioner - Physician Assistant 9234034018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003451LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince May 1, 2024 Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients
Singh Physicians Past Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

2607 Keiser Blvd
Ste 200
Wyomissing, PA 19610
Phone (484) 509-0840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17086/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1477517464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 GRANDE BLVD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089348",
            "telephone_number": "610-217-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 PENN AVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196088621",
            "telephone_number": "610-670-2522",
            "fax_number": "610-670-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUBAY",
        "first_name": "NANCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003451L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

Verify at the official NPI Registry.