MR. MANUEL FONSECA MSN, FNP-C
NPI 1184286122
Family Medicine in Boston, MA

Active since June 30, 2019PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Manuel Fonseca Msn, Fnp-c NPPES

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

MR. MANUEL FONSECA MSN, FNP-C (NPI 1184286122) is an individual family medicine provider in Boston, Massachusetts, licensed in Florida (11001507) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184286122
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MANUEL FONSECACredential: MSN, FNP-C
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address11737 Anhinga DrWellington, FL 33414-5807 · (352) 215-1501
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 30, 2019
Last NPPES UpdateNovember 27, 2023
NPI 1184286122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · 11001507
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.
330 BROOKLINE AVE, Boston, MA 02215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Manuel Fonseca Msn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365876554
PECOS Enrollment IDI20250723004346
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 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Obstetrics & Gynecology (Gynecologic Oncology)
330 BROOKLINE AVE, KIRSTEIN 3
BOSTON, MA 02215
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215

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 Manuel Fonseca's NPI number?

The NPI number for Manuel Fonseca is 1184286122. It was assigned to this individual provider in the NPPES registry on June 30, 2019.

Where is Manuel Fonseca located?

Manuel Fonseca practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Manuel Fonseca's specialty?

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

Is Manuel Fonseca enrolled in Medicare?

Yes. Manuel Fonseca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Manuel Fonseca was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.