STEPHANIE MANIACI FNP
NPI 1114302130
Nurse Practitioner - Family in Port Huron, MI
About Stephanie Maniaci Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MANIACI FNP (NPI 1114302130) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704269057) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Maniaci Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Maniaci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephanie Maniaci's NPI number?
The NPI number for Stephanie Maniaci is 1114302130. It was assigned to this individual provider in the NPPES registry on July 21, 2015.
Where is Stephanie Maniaci located?
Stephanie Maniaci practices at 1943 Holland Ave, Port Huron, MI 48060. The listed phone number is (810) 985-5700.
What is Stephanie Maniaci's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Maniaci enrolled in Medicare?
Yes. Stephanie Maniaci is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Maniaci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Maniaci reassigns Medicare benefits to Port Huron Internal Medicine Associates (Port Huron, MI). The 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 Stephanie Maniaci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Maniaci accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Stephanie Maniaci 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 Stephanie Maniaci was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Stephanie Maniaci, FNP · NPI 1114302130
Family physician in Port Huron, Michigan. Individual provider, active in the CMS NPPES registry since July 21, 2015.
## Identity
- **NPI:** 1114302130 (Entity type: Individual)
- **Enumerated:** July 21, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704269057 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1943 HOLLAND AVE, Port Huron, MI 48060-1519
- **Phone:** (810) 985-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Port Huron Internal Medicine Associates (NPI 1528252251, Port Huron, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1114302130) · Data from the CMS NPPES public registry.