ATHENA JANE MANATIS-LORNELL
NPI 1255914610
Internal Medicine in Providence, RI

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

Active since May 04, 2021PECOS Enrolled

593 EDDY STREET, PROVIDENCE, RI 02903(401) 444-4393 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, May 7, 2023, May 4, 2021 (3 updates tracked since 2021).

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About Athena Jane Manatis-lornell NPPES

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

ATHENA JANE MANATIS-LORNELL (NPI 1255914610) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (LP05919) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1255914610

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameATHENA JANE MANATIS-LORNELL

Location Address593 EDDY STREETProvidence, RI 02903

Mailing Address593 Eddy StreetProvidence, RI 02903

Phone(401) 444-4393

Sole ProprietorNo

Enumeration DateMay 4, 2021

Last NPPES UpdateJune 23, 20233 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1255914610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · LP05919

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LP05919 (RI)

593 EDDY STREET, Providence, RI 02903

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Secondary Practice Location 1

Location 1600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athena Jane Manatis-lornell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02903 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.