JENNIPHER IMMANUEL MANOHAR PMHNP, FNP
NPI 1215713599
Nurse Practitioner - Psychiatric/Mental Health in Columbia, SC

Q: What is Jennipher Immanuel Manohar's NPI number?

The NPI number for Jennipher Immanuel Manohar is 1215713599. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Q: What is Jennipher Immanuel Manohar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 04, 2023PECOS EnrolledAccepts Medicare Assignment

2715 COLONIAL DR, COLUMBIA, SC 29203(803) 898-1555(803) 898-2194 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennipher Immanuel Manohar Pmhnp, Fnp NPPES

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

JENNIPHER IMMANUEL MANOHAR PMHNP, FNP (NPI 1215713599) is an individual psychiatric/mental health provider in Columbia, South Carolina, licensed in South Carolina (28100) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215713599

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIPHER IMMANUEL MANOHARCredential: PMHNP, FNP

Location Address2715 COLONIAL DRColumbia, SC 29203-6818

Mailing AddressPo Box 1631Roanoke Rapids, NC 27870-7631 · (803) 450-8862

Phone(803) 898-1555

Fax(803) 898-2194

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 4, 2023

Last NPPES UpdateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1215713599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in SC · 28100✔ Licensed in VA · 0024179774

2715 COLONIAL DR, Columbia, SC 29203

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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 and accepts Medicare assignment

Jennipher Immanuel Manohar Pmhnp, 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 ID749710143

PECOS Enrollment IDI20250214001824

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 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

MS. BRENDA JOYCE PRESTON M.ED.

Counselor (Mental Health)