Individual provider Active NPI

Jeffrey David McManus, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmersville, TX
National Provider Identifier
1558955369
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1030696 Issued in TX
Practice address
107 McKinney St
Farmersville, TX 75442-2213
Phone
(972) 784-3064
Fax
(972) 784-3069
NPI assigned
Feb 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1030696 TX Primary

Addresses

Primary practice location

107 McKinney St
Farmersville, TX 75442-2213

Mailing address

10305 Belfort Dr
Frisco, TX 75035-6007
Phone (214) 564-2980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240715000884 TX Practitioner - Nurse Practitioner 8022553098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karen Suzanne HalesGroup PAC ID 9931585619, 8 clinicians

Practice addresses (Care Compare)

1575 Heritage Dr
McKinney, TX 75069-3288
Phone (972) 542-8144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1030696TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Suzanne Hales CurrentSince Apr 22, 2024 Accepting new patients
Jeffrey D. McManus PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

107 McKinney St
Farmersville, TX 75442
Phone (972) 784-3064

1575 Heritage Dr
Ste 200
McKinney, TX 75069
Phone (469) 307-5810

1575 Heritage Dr
McKinney, TX 75069
Phone (972) 542-8144

Organizations & group practices 2

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1558955369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 BELFORT DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356007",
            "telephone_number": "214-564-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MCKINNEY ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422213",
            "telephone_number": "972-784-3064",
            "fax_number": "972-784-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1030696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmersville, TX

Sources for this page

Verify at the official NPI Registry.