JOSE CARLOS MANCILLA NURSE PRACTITIONER
NPI 1033836572
Nurse Practitioner in Concord, CA

Q: What is Jose Mancilla's NPI number?

The NPI number for Jose Mancilla is 1033836572. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Q: What is Jose Mancilla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Mancilla was last updated on May 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2022PECOS Enrolled

2540 EAST ST, CONCORD, CA 94520(925) 947-3322(925) 947-3394 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2023, Oct 25, 2022 (2 updates tracked since 2022).

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About Jose Carlos Mancilla Nurse Practitioner NPPES

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

JOSE CARLOS MANCILLA NURSE PRACTITIONER (NPI 1033836572) is an individual nurse practitioner in Concord, California, licensed in California (95023101) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033836572

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOSE CARLOS MANCILLACredential: NURSE PRACTITIONER

Location Address2540 EAST STConcord, CA 94520-1906

Mailing Address2540 East StConcord, CA 94520-1906 · (925) 947-3322 · Fax (925) 947-3394

Phone(925) 947-3322

Fax(925) 947-3394

Sole ProprietorNo

Enumeration DateOctober 25, 2022

Last NPPES UpdateMay 28, 20232 updates tracked since enumeration

NPPES CertifiedMay 28, 2023

✔ NPI 1033836572 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 · 95023101

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.

2540 EAST ST, Concord, CA 94520

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Carlos Mancilla Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94520 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.