Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXIS JACKLYN MANZELLA
NPI 1083461248
Registered Nurse - Psychiatric/Mental Health in Brockton, MA

Active since May 03, 2024PECOS EnrolledAccepts Medicare Assignment
25 LIBBY ST, BROCKTON, MA 02302(508) 941-7700 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Dec 12, 2024, May 3, 2024 (3 updates tracked since 2024).

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 psychiatric/mental health 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

NPI1083461248
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameALEXIS JACKLYN MANZELLA
Location Address25 LIBBY STBrockton, MA 02302-2949
Mailing Address28 Concord St Apt 3Boston, MA 02129-2571
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 3, 2024
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1083461248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MA · RN2377937
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2377937 (MA)
25 LIBBY ST, Brockton, MA 02302

Secondary Practice Locations 2

Location 128 Concord St Apt 3Boston, MA 02129-2571 · Phone (914) 715-1672
Location 2110 Liberty StBrockton, MA 02301-5674 · Phone (508) 894-0400

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID3375070139
PECOS Enrollment IDI20241218002878
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alexis Manzella reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 clinicians in this Medicare group
Diagnostic Radiology
420 LIBBEY INDUSTRIAL PKWY, WEYMOUTH MRI
Weymouth, MA 02189
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
950 N MAIN ST # 202
Randolph, MA 02368
  • Reassigned Medicare billing, Massachusetts enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
25 LIBBY ST
BROCKTON, MA 02302
Internal Medicine (Cardiovascular Disease)
25 LIBBY ST
BROCKTON, MA 02302
Internal Medicine (Hematology & Oncology)
25 LIBBY ST
BROCKTON, MA 02302
Urology
25 LIBBY ST
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 Psychiatric/Mental Health, with taxonomy code 163WP0808X.

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.

Which organizations bill Medicare for Alexis Manzella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Manzella reassigns Medicare benefits to 3 organizations: Signature Healthcare Medical Group Inc (Brockton, MA), Atrius Health, Inc. (Weymouth, MA) and Engrace Behavioral Health Services LLC (Randolph, MA). Each 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 Alexis Manzella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Manzella accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Alexis Manzella 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.

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 October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.