MANA HEALTH & WELLNESS INC
NPI 1043903875
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Mana Health & Wellness Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANA HEALTH & WELLNESS INC (NPI 1043903875) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Sharon Fountain, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mana Health & Wellness Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mana Health & Wellness Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2341479
Mana Health And Wellness Inc · Phoenix, AZFrequently 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 Mana Health & Wellness Inc's NPI number?
The NPI number for Mana Health & Wellness Inc is 1043903875. It was assigned to this organization in the NPPES registry on May 29, 2023.
Where is Mana Health & Wellness Inc located?
Mana Health & Wellness Inc is located at 4550 N Black Canyon Hwy, Phoenix, AZ 85017. The listed phone number is (808) 306-3054.
What is Mana Health & Wellness Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Mana Health & Wellness Inc enrolled in Medicare?
Yes. Mana Health & Wellness Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mana Health & Wellness Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mana Health & Wellness Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mana Health & Wellness Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2341479) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mana Health & Wellness Inc accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Mana Health & Wellness Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mana Health & Wellness Inc was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mana Health & Wellness Inc · NPI 1043903875
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since May 29, 2023.
## Identity
- **NPI:** 1043903875 (Entity type: Organization)
- **Enumerated:** May 29, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Sharon Fountain, PRESIDENT
## Practice location
- **Address:** 4550 N BLACK CANYON HWY, Phoenix, AZ 85017-3714
- **Phone:** (808) 306-3054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043903875) · Data from the CMS NPPES public registry.