Active NPI
Jenna Nicole Manning, NP-C
- Family Nurse Practitioner
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9614
- Practice address
- 10249 W Thunderbird Blvd
Suite 300
Sun City, AZ 85351-3113 - Phone
- (623) 322-5900
- NPI assigned
- Nov 1, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP9614 | AZ | Primary |
Addresses
Primary practice location
10249 W Thunderbird Blvd
Suite 300
Sun City, AZ 85351-3113
Mailing address
10249 W Thunderbird Blvd
Sun City, AZ 85351-3113
Phone (623) 322-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP9614 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| East Valley Urgent Care,LLC | Past | Accepting new patients | |
| 4C Medical Group PLC | Past | Accepting new patients | |
| Express Urgent Care, PC | Past | Accepting new patients |
Locations
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
Interoperability endpoints
- jmanning242128@direct.valleywisehealth.org
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1568795532
-
- Urgent Care Clinic/Center
- Carefree, AZ
- NPI 1669916607
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1235481128
-
- Urgent Care Clinic/Center
- Sun City, AZ
- NPI 1750664231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1982156352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10249 W THUNDERBIRD BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513113",
"telephone_number": "623-322-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10249 W THUNDERBIRD BLVD",
"address_2": "SUITE 300",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513113",
"telephone_number": "623-322-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JENNA NICOLE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-01",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.