MRS. STACY AVILA MANNING RN,FNP-C
NPI 1417193624
Nurse Practitioner - Family in Fresno, CA

Q: What is Stacy Manning's NPI number?

The NPI number for Stacy Manning is 1417193624. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Q: What is Stacy Manning's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Manning was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 18, 2008PECOS Enrolled

1322 E SHAW AVE STE 410, FRESNO, CA 93710(559) 226-1316 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Stacy Avila Manning Rn,fnp-c NPPES

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

MRS. STACY AVILA MANNING RN,FNP-C (NPI 1417193624) is an individual family provider in Fresno, California, licensed in California (18310) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417193624

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. STACY AVILA MANNINGCredential: RN,FNP-C

Location Address1322 E SHAW AVE STE 410Fresno, CA 93710-7904

Mailing Address1322 E Shaw Ave Ste 410Fresno, CA 93710-7904 · (559) 226-1316

Phone(559) 226-1316

Sole ProprietorNo

Enumeration DateDecember 18, 2008

Last NPPES UpdateJanuary 17, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1417193624 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 CA · 18310

1322 E SHAW AVE STE 410, Fresno, CA 93710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Avila Manning Rn,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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

MR. NOAH MICHAEL SARR FNP

Nurse Practitioner (Psychiatric/Mental Health)