CLARISSA MANCHENO CRNA
NPI 1407103369
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is Clarissa Mancheno's NPI number?

The NPI number for Clarissa Mancheno is 1407103369. It was assigned to this individual provider in the NPPES registry on August 10, 2012.

Q: What is Clarissa Mancheno's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Mancheno was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 10, 2012Accepts Medicare Assignment

76.2/100

CMS Quality Rating

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2020, Dec 13, 2017 (2 updates tracked since 2017).

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About Clarissa Mancheno Crna NPPES

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

CLARISSA MANCHENO CRNA (NPI 1407103369) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (ARNP3232412) and active in the NPI registry since August 2012. She is affiliated with Hca Florida Orange Park Hospital and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407103369

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCLARISSA MANCHENOCredential: CRNA

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(904) 953-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 10, 2012

Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2024

✔ NPI 1407103369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · ARNP3232412

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Clarissa Mancheno Crna 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 ID840449435

PECOS Enrollment IDI20120925000306

Medicare Billing Reassignments

Medicare enrollment records show Clarissa Mancheno reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Florida Anesthesia Services PLLC

1.9 mi

Anesthesiology

4796 HODGES BLVD STE 101
Jacksonville, FL 32224

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

NPI 1033691050 (904) 800-7246

Fleming Island Anesthesia LLC

20 mi

Anesthesiology

1670 EAGLE HARBOR PKWY
Orange Park, FL 32003

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

NPI 1487945895 (904) 644-0700

Anesthesia Dynamics LLC

202 mi

Anesthesiology

206 2ND ST E
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
1,887 clinicians in this Medicare group

NPI 1073001012 (888) 851-4642

Sunshine State Anesthesia Partners LLC

205 mi

Anesthesiology

2020 59TH ST W
Bradenton, FL 34209

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

NPI 1437757127 (888) 276-1910

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

15 services14 patients

Anesthesia for procedure to assess heart electrical activity 00537

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

13 services13 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100226

Location2001 Kingsley AveOrange Park, FL 32073 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

76.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.33

Promoting Interoperability

100

Improvement Activities

Cost

51.32

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

92%25 patients4/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

89%47 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant