NPIMap

Individual provider Active NPI

Colleen Manzella, DO

  • Family Medicine Physician
  • Walnutport, PA
National Provider Identifier
1659477578
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010211L Issued in PA
Practice address
330 N Best Ave
Walnutport, PA 18088-1205
Phone
(610) 760-8080
Fax
(610) 760-8148
NPI assigned
Sep 16, 2006
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010211L PA Primary

Addresses

Primary practice location

330 N Best Ave
Walnutport, PA 18088-1205

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-6048

Other identifiers 1

IdentifierTypeStateIssuer
0017384950004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000626 PA Practitioner - Family Practice 8527058403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

330 N Best Ave
Suite a
Walnutport, PA 18088-1205
Phone (610) 760-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine CurrentSince Oct 11, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Compassionate Care Hospice of Northwestern Pennsylvania, LLC Family Medicine Past Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

623 E Broad St
Fl 2
Bethlehem, PA 18018

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

330 N Best Ave
Walnutport, PA 18088
Phone (610) 760-8080

330 N Best Ave
Ste A
Walnutport, PA 18088
Phone (610) 628-8922

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1659477578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-6048",
            "fax_number": "610-954-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881205",
            "telephone_number": "610-760-8080",
            "fax_number": "610-760-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "COLLEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010211L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017384950004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnutport, PA

Sources for this page

Verify at the official NPI Registry.