MARK PATRICK MANNING
NPI 1417439647
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Mark Manning's NPI number?

The NPI number for Mark Manning is 1417439647. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Q: What is Mark Manning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Mark Manning enrolled in Medicare?

No. Mark Manning has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Mark Manning was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 September 04, 2018Opted out of Medicare · through Oct 1, 2027

5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117(619) 289-9416(619) 204-6087 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2026, Sep 4, 2018 (2 updates tracked since 2018).

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About Mark Patrick Manning NPPES

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

MARK PATRICK MANNING (NPI 1417439647) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95009680) and active in the NPI registry since September 2018. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417439647

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMARK PATRICK MANNING

Location Address5252 BALBOA AVE STE 803San Diego, CA 92117-6920

Mailing Address5252 Balboa Ave Ste 803San Diego, CA 92117-6920 · (619) 289-9416 · Fax (619) 204-6087

Phone(619) 289-9416

Fax(619) 204-6087

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 4, 2018

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1417439647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95009680

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95009680 (CA)

5252 BALBOA AVE STE 803, San Diego, CA 92117

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Patrick Manning has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92117 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers20 claims21 services$63.00 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims20 services$31.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

STACEY W FIELDS PSYD

Psychologist (Clinical)