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SHIRLEY RIBEIRO DE SOUZA MANETTA PMHNP-BC
NPI 1225905110
Nurse Practitioner - Psychiatric/Mental Health in Winter Park, FL

Active since October 23, 2025PECOS EnrolledAccepts Medicare Assignment
1573 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789(407) 896-8097 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirley Ribeiro De Souza Manetta Pmhnp-bc NPPES

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

SHIRLEY RIBEIRO DE SOUZA MANETTA PMHNP-BC (NPI 1225905110) is an individual psychiatric/mental health provider in Winter Park, Florida, licensed in Florida (11043176) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1225905110
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHIRLEY RIBEIRO DE SOUZA MANETTACredential: PMHNP-BC
Location Address1573 W FAIRBANKS AVE STE 100Winter Park, FL 32789-4679
Mailing Address1573 W Fairbanks Ave Ste 100Winter Park, FL 32789-4679 · (407) 896-8097
Phone(407) 896-8097
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 23, 2025
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1225905110 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
License✔ Licensed in FL · 11043176
1573 W FAIRBANKS AVE STE 100, Winter Park, FL 32789
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 303-1704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Shirley Ribeiro De Souza Manetta Pmhnp-bc 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 ID5496230724
PECOS Enrollment IDI20260403000970
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 Reassignment

Medicare enrollment records show Shirley Manetta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc
3.3 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

ALLISON NICHOL LCSW
Social Worker (Clinical)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
STEPHANIE JACQUES LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
NERILYN ROSARIO LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
DR. KEVIN VANKORLAAR LMHC
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
HARJASLEEN BHULLAR YADAV MBBS
Psychiatry & Neurology (Psychiatry)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
DARCY FRITZ LCSW
Social Worker (Clinical)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
EMMA EBEL
Physician Assistant
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097
MR. LAWRENCE STUART CODY MHS, LMHC, SAP, MCAP
Counselor (Mental Health)
1573 W FAIRBANKS AVE STE 100
WINTER PARK, FL 32789
Orange County (407) 896-8097

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 Shirley Manetta's NPI number?

The NPI number for Shirley Manetta is 1225905110. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Shirley Manetta located?

Shirley Manetta practices at 1573 W Fairbanks Ave Ste 100, Winter Park, FL 32789. The listed phone number is (407) 896-8097.

What is Shirley Manetta's specialty?

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

Is Shirley Manetta enrolled in Medicare?

Yes. Shirley Manetta 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 organization bills Medicare for Shirley Manetta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Manetta reassigns Medicare benefits to Florida Hospital Medical Group Inc (Orlando, FL). The 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 Shirley Manetta'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 Shirley Manetta was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.