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EDNA M MANALO PA
NPI 1265410120
Physician Assistant in Fort Wayne, IN

Active since January 02, 2006PECOS Enrolled
36.71/100
CMS Quality Rating
2516 E DUPONT RD, FORT WAYNE, IN 46825(260) 471-7197(260) 471-7408 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, Jan 19, 2017, Jan 11, 2017 (3 updates tracked since 2017).

About Edna M Manalo Pa NPPES

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

EDNA M MANALO PA (NPI 1265410120) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10000418A) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265410120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEDNA M MANALOCredential: PA
Location Address2516 E DUPONT RDFort Wayne, IN 46825-1608
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520
Phone(260) 471-7197
Fax(260) 471-7408
Sole ProprietorNo
Enumeration DateJanuary 2, 2006
Last NPPES UpdateOctober 13, 20203 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1265410120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10000418A
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.
2516 E DUPONT RD, Fort Wayne, IN 46825
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Other Identifiers 2

Medicaid100326320IN
OtherP01146780IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edna M Manalo Pa 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 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

36.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.86
Improvement Activities20
Cost68.29

Other Providers at the Same Location NPPES 18

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

MANOLO M. MANALO MD
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-7197
JEAN D. ROSS NP
Nurse Practitioner
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 434-6076
CYNTHIA L. VANDERBOSCH M.D.
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-7622
OLIVIA KAY WOENKHAUS PA
Physician Assistant
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 458-3045
ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
Otolaryngology
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 490-8422
ALLIED PHYSICIANS INC., D/B/A TRI-STATE PHYSICAL MEDICINE
Physical Medicine & Rehabilitation
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 436-2416
BRIAN YORK
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 458-3737
BROOKLYN MEDICAL ASSOCIATES LLC
Family Medicine
2516 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 747-6171

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 Edna Manalo's NPI number?

The NPI number for Edna Manalo is 1265410120. It was assigned to this individual provider in the NPPES registry on January 2, 2006.

Where is Edna Manalo located?

Edna Manalo practices at 2516 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 471-7197.

What is Edna Manalo's specialty?

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

Is Edna Manalo enrolled in Medicare?

Yes. Edna Manalo is registered in the Medicare PECOS enrollment system.

What insurance does Edna Manalo accept?

Health plans from CareSource list Edna Manalo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edna Manalo was last updated on October 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.