MARY P MANU
NPI 1033647706
Nurse Practitioner in Elk Grove, CA

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5100 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Jan 3, 2022, May 25, 2017 (3 updates tracked since 2017).

About Mary P Manu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY P MANU (NPI 1033647706) is an individual nurse practitioner in Elk Grove, California, licensed in California (95006426) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elk Grove, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033647706
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY P MANU
Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240
Mailing Address9201 Big Horn BlvdElk Grove, CA 95758-1240 · (916) 478-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2017
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1033647706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95006426
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9201 BIG HORN BLVD, Elk Grove, CA 95758

Secondary Practice Location 1

Location 16017 Travo WayElk Grove, CA 95757-2800 · Phone (916) 479-9007 · Fax (916) 479-9007

Other Identifiers 2

Other95006426CA · California Board Of Registered Nursing
OtherF03170586American Academy Of Nurse Practitioners

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary P Manu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42575508
PECOS Enrollment IDI20240821001250
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Dermatology
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Pediatrics
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Psychiatry & Neurology (Psychiatry)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Internal Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Internal Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Obstetrics & Gynecology
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Pediatrics
9201 BIG HORN BLVD
ELK GROVE, CA 95758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Manu's NPI number?

The NPI number for Mary Manu is 1033647706. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Mary Manu located?

Mary Manu practices at 9201 Big Horn Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-5100.

What is Mary Manu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Manu enrolled in Medicare?

Yes. Mary Manu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Manu was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.