Individual provider Active NPI

Roanne Mancari, FNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1922329416
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP986A Issued in ID
Practice address
476 Cheney Dr W # 160
Twin Falls, ID 83301-3741
Phone
(208) 944-0497
Fax
(208) 944-0506
NPI assigned
Jun 18, 2010
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP986A ID Primary

Addresses

Primary practice location

476 Cheney Dr W # 160
Twin Falls, ID 83301-3741

Mailing address

476 Cheney Dr W # 160
Twin Falls, ID 83301-3741
Phone (208) 944-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20120802000524 ID Practitioner - Nurse Practitioner 2668628942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP986AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Adolescent Care of Twin Falls PA Family CurrentSince Jun 24, 2012 Accepting new patients
Idaho Prosthetics & Orthotics, Inc. PastSince Mar 9, 2020 Accepting new patients

Locations

1385 Park View Dr
Ste 101
Twin Falls, ID 83301
Phone (208) 944-0497

476 Cheney Dr W
Ste 160
Twin Falls, ID 83301
Phone (208) 944-0497

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1922329416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 CHENEY DR W # 160",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013741",
            "telephone_number": "208-944-0497",
            "fax_number": "208-944-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 CHENEY DR W # 160",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013741",
            "telephone_number": "208-944-0497",
            "fax_number": "208-944-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCARI",
        "first_name": "ROANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP986A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.