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ANDREA MANOOCHERI FNP
NPI 1184445488
Nurse Practitioner - Family in San Diego, CA

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
4967 NEWPORT AVE # 112-241, SAN DIEGO, CA 92107(760) 492-4306 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Manoocheri Fnp NPPES

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

ANDREA MANOOCHERI FNP (NPI 1184445488) is an individual family provider in San Diego, California, licensed in California (95032191) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184445488
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MANOOCHERICredential: FNP
Location Address4967 NEWPORT AVE # 112-241San Diego, CA 92107-3167
Mailing Address4967 Newport Ave # 112-241San Diego, CA 92107-3167
Phone(760) 492-4306
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1184445488 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
License✔ Licensed in CA · 95032191
4967 NEWPORT AVE # 112-241, San Diego, CA 92107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Manoocheri Fnp 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 ID42747073
PECOS Enrollment IDI20250102001998
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrea Manoocheri reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Wound Care Physician Assistant Corporation
1.0 mi
Family Medicine
2629 STRANDWAY
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1477932978 (860) 227-0611
Bl Anderson Medical Corporation
21 mi
Family Medicine
10890 THORNMINT RD
San Diego, CA 92127
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group
NPI 1821627639 (619) 407-8545
Wound Care 360 Advanced Solutions Inc
23 mi
General Practice
196 CORAL COVE WAY
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1942012539 (760) 286-7826
Wound Docs Apc
63 mi
Surgery
27141 ALISO CREEK RD STE 235
Aliso Viejo, CA 92656
  • Reassigned Medicare billing, California enrollment
  • 23 clinicians in this Medicare group
NPI 1629891676 (562) 800-3321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
196 services11 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
69 services24 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
63 services14 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
25 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92107 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Andrea Manoocheri's NPI number?

The NPI number for Andrea Manoocheri is 1184445488. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Andrea Manoocheri located?

Andrea Manoocheri practices at 4967 Newport Ave # 112-241, San Diego, CA 92107. The listed phone number is (760) 492-4306.

What is Andrea Manoocheri's specialty?

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

Is Andrea Manoocheri enrolled in Medicare?

Yes. Andrea Manoocheri 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.

Which organizations bill Medicare for Andrea Manoocheri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Manoocheri reassigns Medicare benefits to 4 organizations: Mobile Wound Care Physician Assistant Corporation (San Diego, CA), Bl Anderson Medical Corporation (San Diego, CA), Wound Care 360 Advanced Solutions Inc (Encinitas, CA) and Wound Docs Apc (Aliso Viejo, CA). Each 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 Andrea Manoocheri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Manoocheri was last updated on October 18, 2024. 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.