MISS STEPHANIE MANZELLA PA-C
NPI 1194061549
Physician Assistant in Kihei, HI

Q: What is Stephanie Manzella's NPI number?

The NPI number for Stephanie Manzella is 1194061549. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Q: What is Stephanie Manzella's specialty?

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

Active since December 12, 2012PECOS Enrolled

1279 S KIHEI RD STE 120, KIHEI, HI 96753(808) 891-6800 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2021, Aug 31, 2019 (2 updates tracked since 2019).

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About Miss Stephanie Manzella Pa-c NPPES

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

MISS STEPHANIE MANZELLA PA-C (NPI 1194061549) is an individual physician assistant in Kihei, Hawaii, licensed in Hawaii (AMD-753) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wailuku, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194061549

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS STEPHANIE MANZELLACredential: PA-C

Location Address1279 S KIHEI RD STE 120Kihei, HI 96753-5222

Mailing Address1279 S Kihei Rd Ste 120Kihei, HI 96753-5222 · (808) 891-6800

Phone(808) 891-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 12, 2012

Last NPPES UpdateMay 17, 20212 updates tracked since enumeration

NPPES CertifiedMay 17, 2021

✔ NPI 1194061549 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 HI · AMD-753

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 016309 (NY)

1279 S KIHEI RD STE 120, Kihei, HI 96753

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Secondary Practice Location 1

Location 155 Maui Lani PkwyWailuku, HI 96793-2416 · Phone (808) 243-6050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Stephanie Manzella Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406070986

PECOS Enrollment IDI20170822000766

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 96753 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELICITAS B. LIVAUDAIS MD

Pediatrics