ALEXIS JACKLYN MANZELLA
NPI 1083461248
Registered Nurse - Medical-Surgical in Brockton, MA
About Alexis Jacklyn Manzella NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS JACKLYN MANZELLA (NPI 1083461248) is an individual medical-surgical provider in Brockton, Massachusetts, licensed in Massachusetts (RN2377937) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Alexis Jacklyn Manzella 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Signature Healthcare Brockton Hospital
Acute Care Hospitals · Brockton, MAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROCKTON, MA 02302
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 Alexis Manzella's NPI number?
The NPI number for Alexis Manzella is 1083461248. It was assigned to this individual provider in the NPPES registry on May 3, 2024.
Where is Alexis Manzella located?
Alexis Manzella practices at 25 Libby St, Brockton, MA 02302. The listed phone number is (508) 941-7700.
What is Alexis Manzella's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.
Is Alexis Manzella enrolled in Medicare?
Yes. Alexis Manzella 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.
Is Alexis Manzella affiliated with any hospitals?
According to CMS data, Alexis Manzella is affiliated with Signature Healthcare Brockton Hospital.
When was this NPI record last updated?
The NPPES record for Alexis Manzella was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Alexis Jacklyn Manzella · NPI 1083461248
Medical-Surgical provider in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since May 3, 2024.
## Identity
- **NPI:** 1083461248 (Entity type: Individual)
- **Enumerated:** May 3, 2024
- **Primary specialty:** Registered Nurse - Medical-Surgical · taxonomy 163WM0705X
- **State license:** RN2377937 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25 LIBBY ST, Brockton, MA 02302-2949
- **Phone:** (508) 941-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083461248) · Data from the CMS NPPES public registry.