Individual provider Active NPI

William Thomas Manley, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1811514342
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11007509 Issued in FL
Practice address
5637 Marine Pkwy
New Port Richey, FL 34652-4316
Phone
(727) 834-5700
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11007509 FL Primary

Addresses

Primary practice location

5637 Marine Pkwy
New Port Richey, FL 34652-4316

Mailing address

3433 Bumelia LN
New Port Richey, FL 34655-2144
Phone (859) 489-1377

Other practice location 1

21808 Sr 54
Lutz, FL 33549
Phone (866) 762-1743

Other practice location 2

300 Pinellas St # MS 70
Clearwater, FL 33756-3804
Phone (866) 762-1743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.manleyAPRN@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200731002469 FL Practitioner - Nurse Practitioner 8921423310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007509FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Associates LLC CurrentSince Dec 13, 2022 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Dec 13, 2022 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Dec 13, 2022 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Dec 13, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Dec 13, 2022 Accepting new patients
Winter Haven Hospital Inc CurrentSince Dec 13, 2022 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

300 Pinellas St
#70
Clearwater, FL 33756
Phone (727) 462-3702

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: william.manleyaprn@direct.mybaycare.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1811514342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BUMELIA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552144",
            "telephone_number": "859-489-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524316",
            "telephone_number": "727-834-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21808 SR 54",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "33549",
            "country_code": "US",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pinellas St # MS 70",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563804",
            "country_code": "US",
            "telephone_number": "866-762-1743",
            "fax_number": "727-816-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.manleyAPRN@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.