MS. KELLY K. ROSS MANASHIL NP
NPI 1053448043
Nurse Practitioner - Family in Sacramento, CA

Q: What is Kelly Ross Manashil's NPI number?

The NPI number for Kelly Ross Manashil is 1053448043. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Kelly Ross Manashil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 27, 2007PECOS Enrolled

4501 X ST, SACRAMENTO, CA 95817(916) 734-5959(916) 703-5265 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

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About Ms. Kelly K. Ross Manashil Np NPPES

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

MS. KELLY K. ROSS MANASHIL NP (NPI 1053448043) is an individual family provider in Sacramento, California, licensed in California (12842) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053448043

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLY K. ROSS MANASHILCredential: NP

Location Address4501 X STSacramento, CA 95817-2229

Mailing Address4501 X St Ste 3016Sacramento, CA 95817-2229 · (916) 734-3772 · Fax (916) 734-7946

Phone(916) 734-5959

Fax(916) 703-5265

Sole ProprietorNo

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1053448043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 12842

4501 X ST, Sacramento, CA 95817

Open in Google Maps ↗

Other Identifiers 1

Other083477CA · Acmc Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly K. Ross Manashil Np 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 95817 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.

DR. VIJAY P KHATRI M.D.

Surgery (Surgical Oncology)

4501 X ST, UC DAVIS CANCER CENTER, SUITE 3010
SACRAMENTO, CA 95817

Sacramento County (916) 734-2172

BRIANNA CHRISTINE KALMYKOW

Nurse Practitioner (Adult Health)

4501 X ST, SUITE 3016
SACRAMENTO, CA 95817

Sacramento County (916) 734-5959

DR. TYLER O'FLAHRITY MD

Internal Medicine

4501 X ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-5959

SUSAN T. FERRARA NP

Nurse Practitioner (Family)

4501 X ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-5959

DR. JEFFREY MCLEROY M.D.

Internal Medicine (Hematology & Oncology)

4501 X ST, SUITE 3016
SACRAMENTO, CA 95817

Sacramento County (916) 734-3771

DR. SRINIVAS C GUMMARAJU M.D.

Internal Medicine (Hematology & Oncology)

4501 X ST, SUITE 3016
SACRAMENTO, CA 95817

Sacramento County (530) 749-4400

DR. RONALD WISDOM M.D.

Internal Medicine (Hematology & Oncology)

4501 X ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-3772

DR. MICHAEL S TANAKA M.D.

Internal Medicine (Hematology & Oncology)

4501 X ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-3772

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 Kelly Ross Manashil's NPI number?

The NPI number for Kelly Ross Manashil is 1053448043. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Kelly Ross Manashil located?

Kelly Ross Manashil practices at 4501 X St, Sacramento, CA 95817. The listed phone number is (916) 734-5959.

What is Kelly Ross Manashil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Ross Manashil enrolled in Medicare?

Yes. Kelly Ross Manashil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Ross Manashil was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.