JONNAH SHAYNE MCMANUS MD
NPI 1174366512
Family Medicine in Carbondale, IL

Q: What is Jonnah Mcmanus's NPI number?

The NPI number for Jonnah Mcmanus is 1174366512. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Q: What is Jonnah Mcmanus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonnah Mcmanus was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 14, 2024PECOS Enrolled

300 W OAK ST, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2025, Jun 14, 2024 (2 updates tracked since 2024).

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About Jonnah Shayne Mcmanus Md NPPES

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

JONNAH SHAYNE MCMANUS MD (NPI 1174366512) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (125084072) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174366512

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJONNAH SHAYNE MCMANUSCredential: MD

Location Address300 W OAK STCarbondale, IL 62901-1400

Mailing Address300 W Oak StCarbondale, IL 62901-1400 · (618) 536-6621 · Fax (618) 453-1102

Phone(618) 536-6621

Sole ProprietorNo

Enumeration DateJune 14, 2024

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1174366512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125084072

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 W OAK ST, Carbondale, IL 62901

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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)

Jonnah Shayne Mcmanus Md 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 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

JOELI GEBHART PAC

Physician Assistant