Individual provider Active NPI

Francheska Pauline Reyes Manahan, AGNP-C

  • Nurse Practitioner
  • Kulpsville, PA
National Provider Identifier
1770462418
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP033095 Issued in PA
Practice address
1586 Sumneytown Pike
PO Box 198
Kulpsville, PA 19443
Phone
(203) 497-3861
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP033095 PA Primary

Addresses

Primary practice location

1586 Sumneytown Pike
PO Box 198
Kulpsville, PA 19443

Mailing address

1586 Sumneytown Pike
PO Box 198
Kulpsville, PA 19443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251018000212 PA Practitioner - Nurse Practitioner 5294223624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians
Impact Health Advanced Care PCGroup PAC ID 8325537863, 18 clinicians

Practice addresses (Care Compare)

10125 Verree Rd
Suite 202
Philadelphia, PA 19116-3674
Phone (203) 497-3861

1425 Horsham Rd
North Wales, PA 19454-1320
Phone (203) 497-3861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP033095PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Health P.C. Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Impact Health Advanced Care PC CurrentSince Jan 10, 2026 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867

1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398

10125 Verree Rd
Ste 202
Philadelphia, PA 19116
Phone (215) 302-2003

10125 Verree Rd
Philadelphia, PA 19116
Phone (215) 673-0100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1770462418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 SUMNEYTOWN PIKE",
            "address_2": "PO BOX 198",
            "city": "KULPSVILLE",
            "state": "PA",
            "postal_code": "19443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 SUMNEYTOWN PIKE",
            "address_2": "PO BOX 198",
            "city": "KULPSVILLE",
            "state": "PA",
            "postal_code": "19443",
            "telephone_number": "203-497-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "FRANCHESKA PAULINE",
        "middle_name": "REYES",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP033095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kulpsville, PA

Sources for this page

Verify at the official NPI Registry.