STACEY ELIZABETH MANOHARA RN
NPI 1053926774
Nurse Practitioner in Bakersfield, CA

Q: What is Stacey Manohara's NPI number?

The NPI number for Stacey Manohara is 1053926774. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Q: What is Stacey Manohara'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 Stacey Manohara was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 10, 2020PECOS Enrolled

4580 CALIFORNIA AVE, BAKERSFIELD, CA 93309(661) 327-4411 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Sep 10, 2020 (2 updates tracked since 2020).

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About Stacey Elizabeth Manohara Rn NPPES

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

STACEY ELIZABETH MANOHARA RN (NPI 1053926774) is an individual nurse practitioner in Bakersfield, California, licensed in California (95016205) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053926774

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY ELIZABETH MANOHARACredential: RN

Location Address4580 CALIFORNIA AVEBakersfield, CA 93309-1104

Mailing Address12107 Ashlyn DrBakersfield, CA 93311-8401 · (661) 472-8444

Phone(661) 327-4411

Sole ProprietorNo

Enumeration DateSeptember 10, 2020

Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration

NPPES CertifiedDecember 18, 2020

✔ NPI 1053926774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95016205

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95066883 (CA)

4580 CALIFORNIA AVE, Bakersfield, CA 93309

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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)

Stacey Elizabeth Manohara Rn 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 93309 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

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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.

BAKERSFIELD FAMILY MEDICAL GROUP INC

Clinic/Center (Multi-Specialty)