KEVIN CARLO MONTALBO MANALO FNP-C
NPI 1376384164
Nurse Practitioner - Family in Davenport, FL

Q: What is Kevin Carlo Manalo's NPI number?

The NPI number for Kevin Carlo Manalo is 1376384164. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Kevin Carlo Manalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 04, 2024PECOS Enrolled

130 RIDGE CENTER DR, DAVENPORT, FL 33837(866) 234-8534(863) 588-7052 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Jul 25, 2024, Jun 4, 2024 (3 updates tracked since 2024).

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About Kevin Carlo Montalbo Manalo Fnp-c NPPES

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

KEVIN CARLO MONTALBO MANALO FNP-C (NPI 1376384164) is an individual family provider in Davenport, Florida, licensed in Florida (11033209) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376384164

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN CARLO MONTALBO MANALOCredential: FNP-C

Location Address130 RIDGE CENTER DRDavenport, FL 33837-6413

Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534 · Fax (863) 837-4441

Phone(866) 234-8534

Fax(863) 588-7052

Sole ProprietorYes

Enumeration DateJune 4, 2024

Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1376384164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11033209

130 RIDGE CENTER DR, Davenport, FL 33837

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Other Identifiers 1

Medicaid123332000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Carlo Montalbo Manalo Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Carlo Manalo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Florida Health Care, Inc.

Same address

Federally Qualified Health Center (FQHC)

130 RIDGE CENTER DR
Davenport, FL 33837

Reassigned Medicare billing, Florida enrollment
165 clinicians in this Medicare group

NPI 1194495614 (866) 234-8534

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 33837 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 16

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

CENTRAL FLORIDA HEALTH CARE, INC.

Clinic/Center (Multi-Specialty)