JESSICA MANZOLILLO PAC
NPI 1174504468
Physician Assistant in Wilkes Barre, PA

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702(570) 208-6281(570) 208-6282 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2020, Dec 14, 2017 (2 updates tracked since 2017).

About Jessica Manzolillo Pac NPPES

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

JESSICA MANZOLILLO PAC (NPI 1174504468) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA051051) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174504468
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA MANZOLILLOCredential: PAC
Location Address175 S WILKES BARRE BLVDWilkes Barre, PA 18702-5040
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 208-6282
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 31, 20202 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1174504468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA051051
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA051051 (PA)
175 S WILKES BARRE BLVD, Wilkes Barre, PA 18702

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

Jessica Manzolillo Pac 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 ID3375840911
PECOS Enrollment IDI20171218000535
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 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist (Pharmacotherapy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Family Medicine
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist (Pharmacotherapy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Physician Assistant
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacy (Community/Retail Pharmacy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Nurse Practitioner
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702

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 Jessica Manzolillo's NPI number?

The NPI number for Jessica Manzolillo is 1174504468. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jessica Manzolillo located?

Jessica Manzolillo practices at 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 208-6281.

What is Jessica Manzolillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Manzolillo enrolled in Medicare?

Yes. Jessica Manzolillo 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.

When was this NPI record last updated?

The NPPES record for Jessica Manzolillo was last updated on July 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.