Individual provider Active NPI

Morgan Jane Manka, PA-C

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1649929035
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.008931 Issued in IL
Practice address
880 W Central Rd Ste 4100
Arlington Heights, IL 60005-2383
Phone
(847) 618-4400
Fax
(847) 618-4409
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.008931 IL Primary

Addresses

Primary practice location

880 W Central Rd Ste 4100
Arlington Heights, IL 60005-2383

Mailing address

880 W Central Rd Ste 4100
Arlington Heights, IL 60005-2383
Phone (847) 618-4400

Other practice location 1

14 Mayfair Ln
Lincolnshire, IL 60069-3223
Phone (847) 630-4876

Other identifiers 1

IdentifierTypeStateIssuer
085008931OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmanka148840@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220429001826 IL Practitioner - Physician Assistant 1951798479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.008931ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Physician Assistant CurrentSince May 1, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince May 19, 2022 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince May 1, 2022 Accepting new patients

Locations

880 W Central Rd
Ste 4100
Arlington Heights, IL 60005
Phone (847) 618-4400

880 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-3553

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • Direct secure messaging: mmanka148840@direct.nch.org

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.

Hospital & facility affiliations 2

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1649929035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 4100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052383",
            "telephone_number": "847-618-4400",
            "fax_number": "847-618-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 4100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052383",
            "telephone_number": "847-618-4400",
            "fax_number": "847-618-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Mayfair Ln",
            "address_purpose": "LOCATION",
            "city": "Lincolnshire",
            "state": "IL",
            "postal_code": "600693223",
            "country_code": "US",
            "telephone_number": "847-630-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKA",
        "first_name": "MORGAN",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "085008931",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmanka148840@direct.nch.org",
            "affiliation": "N",
            "address_1": "880 W Central Rd Ste 4100",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.