Individual provider Active NPI

Marc Joseph Mancinelli, D.O.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Erie, PA
National Provider Identifier
1962643882
Registry record updated Jun 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
OS014383 Issued in PA
Practice address
215 Holland St
Erie, PA 16507-1526
Phone
(814) 877-3018
Fax
(814) 877-7469
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X OS014383 PA Primary
Emergency Medicine Physician 207P00000X OS014383 PA

Addresses

Primary practice location

215 Holland St
Erie, PA 16507-1526

Mailing address

215 Holland St
Erie, PA 16507-1526
Phone (814) 877-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100326000941 PA Practitioner - Emergency Medicine 9830225069 Reassigns benefits to 1 organization
I20240622000214 NY Practitioner - Emergency MedicinePractitioner - Undersea and Hyperbaric Medicine 9830225069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western University of Health Sciences College of Dental Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

215 Holland St
Erie, PA 16507-1526
Phone (814) 877-3018

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue219
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician Practice PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Regional Health Services Inc Emergency Medicine CurrentSince Apr 10, 2012 Accepting new patients
Penn North Centers for Advanced Wound Care PC Past Accepting new patients

Locations

15 S Main St
Ste 120
Jamestown, NY 14701
Phone (716) 488-1877

15 S Main St
Ste 150
Jamestown, NY 14701
Phone (716) 483-6700

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

215 Holland St
Erie, PA 16507
Phone (814) 453-5058

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: marc.j.mancinelli@upmcdirect.com
  • Direct secure messaging: mmancinelli160622@upmc.direct-ci.com

Organizations & group practices 4

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464998400000",
    "number": "1962643882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HOLLAND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071526",
            "telephone_number": "814-877-3018",
            "fax_number": "814-877-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HOLLAND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071526",
            "telephone_number": "814-877-3018",
            "fax_number": "814-877-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINELLI",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2016-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "OS014383",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.