Active NPI
Michael Anthony Mannion, CRNP
- Family Nurse Practitioner
- Mars, PA
National Provider Identifier
1740687250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP014308
- Practice address
- 6998 Crider Rd Ste 210
Mars, PA 16046-2390 - Phone
- (724) 778-1601
- Fax
- (724) 778-1603
- NPI assigned
- Nov 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP014308 | PA | Primary |
Addresses
Primary practice location
6998 Crider Rd Ste 210
Mars, PA 16046-2390
Mailing address
6998 Crider Rd Ste 210
Mars, PA 16046-2390
Phone (724) 778-1601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | PA | |
| 14055204 | Other | PA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1740687250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6998 CRIDER RD STE 210",
"city": "MARS",
"state": "PA",
"postal_code": "160462390",
"telephone_number": "724-778-1601",
"fax_number": "724-778-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6998 CRIDER RD STE 210",
"city": "MARS",
"state": "PA",
"postal_code": "160462390",
"telephone_number": "724-778-1601",
"fax_number": "724-778-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNION",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-26",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP014308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14055204",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.