FAITH A. MANTY APRN, CNP
NPI 1124218102
Nurse Practitioner - Family in Moose Lake, MN

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-4481(218) 485-5866 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Jan 8, 2020, Mar 1, 2017 (3 updates tracked since 2017).

About Faith A. Manty Aprn, Cnp NPPES

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

FAITH A. MANTY APRN, CNP (NPI 1124218102) is an individual family provider in Moose Lake, Minnesota, licensed in Minnesota (722) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Moose Lake, and maintains a secondary practice location in Aitkin.

NPPES Registry Identity

NPI1124218102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFAITH A. MANTYCredential: APRN, CNP
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address4572 County Road 61Moose Lake, MN 55767-9401 · (218) 485-4481 · Fax (218) 485-5866
Fax(218) 485-5866
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 26, 2007
Last NPPES UpdateMarch 26, 20203 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
NPI 1124218102 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
Licenses Licensed in MN · 722 Licensed in MN · R 137363-9
4572 COUNTY ROAD 61, Moose Lake, MN 55767

Secondary Practice Location 1

Location 1200 Bunker Hill DrAitkin, MN 56431-1865 · Phone (218) 927-2157 · Fax (218) 927-5319

Other Identifiers 1

Medicaid894967000MN

Accepted Insurance

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

Faith A. Manty Aprn, Cnp 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 ID749375277
PECOS Enrollment IDI20070928000384
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55767 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Clinic/Center (Critical Access Hospital)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767

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 Faith Manty's NPI number?

The NPI number for Faith Manty is 1124218102. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Faith Manty located?

Faith Manty practices at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-4481.

What is Faith Manty's specialty?

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

Is Faith Manty enrolled in Medicare?

Yes. Faith Manty 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.

What insurance does Faith Manty accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Faith Manty 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 Faith Manty affiliated with any hospitals?

According to CMS data, Faith Manty is affiliated with Essentia Health Moose Lake and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Faith Manty was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.