Active NPI
Elisabeth Mancha, N.P.
- Acute Care Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP8660
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- St David'S Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8660 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Cardiologists of Arizona, P.C. | Current | Accepting new patients | |
| Central Texas Surgical Associates | Current | 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
- 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.
-
- Specialist
- Round Rock, TX
- NPI 1275654170
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1821149519
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1649223645
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.