Individual provider Active NPI

Elisabeth Mancha, N.P.

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1760838684
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP8660 Issued in AZ
Practice address
1331 N 7TH St
Suite 400
Phoenix, AZ 85006-2754
Phone
(602) 277-6181
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8660 AZ Primary

Addresses

Primary practice location

1331 N 7TH St
Suite 400
Phoenix, AZ 85006-2754

Mailing address

1331 N 7TH St
Suite 400
Phoenix, AZ 85006-2754
Phone (602) 277-6181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160606002628 AZ Practitioner - Nurse Practitioner 4082904818 Reassigns benefits to 1 organization
I20230606000301 TX Practitioner - Nurse Practitioner 4082904818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Surgical AssociatesGroup PAC ID 3476639238, 10 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 500
Round Rock, TX 78681-4307
Phone (512) 244-0111

Hospital & facility affiliations

  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8660AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Cardiologists of Arizona, P.C. CurrentSince May 1, 2016 Accepting new patients
Central Texas Surgical Associates CurrentSince Feb 22, 2023 Accepting new patients

Locations

700 N Estrella Pkwy
Ste 130
Goodyear, AZ 85338
Phone (623) 282-4078

1331 N 7th St
Ste 400
Phoenix, AZ 85006
Phone (602) 277-6181

200 Medical Pkwy
Ste 360
Lakeway, TX 78738
Phone (512) 459-1131

5236 W University Dr
Ste 2900
McKinney, TX 75071
Phone (469) 617-6550

7200 Wyoming Springs Dr
Ste 500
Round Rock, TX 78681
Phone (512) 244-0111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAIICA

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.

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1760838684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-277-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-277-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHA",
        "first_name": "ELISABETH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.