MRS. ALICIA MAY MANCINI PA-C
NPI 1356650006
Physician Assistant - Surgical in Grand Rapids, MI

NPI Status: Active since September 29, 2010

Contact Information

4100 LAKE DR SE
SUITE 205
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-7100
Fax: (616) 267-7102

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About ALICIA MANCINI

This page provides the complete NPI Profile along with additional information for Alicia Mancini, a provider established in Grand Rapids, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1356650006 assigned on September 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 5601007930 (MI). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1356650006
Provider Name
MRS. ALICIA MAY MANCINI PA-C
Other Name
MISS ALICIA MAY WILLS PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4100 LAKE DR SE SUITE 205 GRAND RAPIDS, MI 49546
Location Phone
(616) 267-7100
Location Fax
(616) 267-7102
Mailing Address
100 MICHIGAN ST NE MC-845 GRAND RAPIDS, MI 49503
Mailing Phone
(616) 267-7100
Mailing Fax
(616) 267-7102
Is Sole Proprietor?
No
Enumeration Date
09-29-2010
Last Update Date
12-19-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601007930
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

002477 (CT)

Medicare Participation & PECOS Enrollment Status

Alicia Mancini is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356650006, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 2 + 5 + 0 + 0 + 0 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1356650006.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, STE 300
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Psychologist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, S-205
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, S-200
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Social Worker
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Clinic/Center (Radiology)
4100 LAKE DR SE, S-102
GRAND RAPIDS, MI 49546
Nurse Practitioner
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Psychologist (Clinical)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356650006, enumerated as an "individual" on September 29, 2010.

The provider is located at 4100 LAKE DR SE SUITE 205 GRAND RAPIDS, MI 49546 and the phone number is (616) 267-7100.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.