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AMANDA MANCILLA
NPI 1417452632
Pediatrics in Glendale, AZ

Active since March 28, 2018PECOS Enrolled
20325 N 51ST AVE STE 116, GLENDALE, AZ 85308(602) 933-1010(602) 933-5395 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Mancilla NPPES

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

AMANDA MANCILLA (NPI 1417452632) is an individual pediatrics provider in Glendale, Arizona, licensed in Arizona (70186) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417452632
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA MANCILLA
Location Address20325 N 51ST AVE STE 116Glendale, AZ 85308-5665
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Phone(602) 933-1010
Fax(602) 933-5395
Sole ProprietorNo
Enumeration DateMarch 28, 2018
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1417452632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AZ · 70186✔ Licensed in MD · D94210
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
20325 N 51ST AVE STE 116, Glendale, AZ 85308
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110084 Reisterstown Rd Ste 200BOwings Mills, MD 21117-4096 · Phone (410) 526-7993 · Fax (410) 526-5144
Location 2300 Community DrManhasset, NY 11030-3816 · Phone (516) 562-0100

Other Identifiers 1

Medicaid187918AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Mancilla 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 85308 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

SARAH A STUEVE MD
Pediatrics
20325 N 51ST AVE STE 116
GLENDALE, AZ 85308
Maricopa County (602) 933-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mancilla's NPI number?

The NPI number for Amanda Mancilla is 1417452632. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Amanda Mancilla located?

Amanda Mancilla practices at 20325 N 51st Ave Ste 116, Glendale, AZ 85308. The listed phone number is (602) 933-1010.

What is Amanda Mancilla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Mancilla enrolled in Medicare?

Yes. Amanda Mancilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Mancilla was last updated on January 16, 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.