MARK JESUITAS MANANSALA
NPI 1437643566
Nurse Practitioner in Syracuse, NY

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2018, Jun 21, 2018 (2 updates tracked since 2018).

About Mark Jesuitas Manansala NPPES

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

MARK JESUITAS MANANSALA (NPI 1437643566) is an individual nurse practitioner in Syracuse, New York, licensed in New York (343488) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437643566
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK JESUITAS MANANSALA
Location Address301 PROSPECT AVESyracuse, NY 13203
Mailing Address7770 Tirrell Hill CirLiverpool, NY 13090-2508 · (315) 427-9414
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateAugust 21, 20182 updates tracked since enumeration
NPI 1437643566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 343488
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 575973 (NY)
301 PROSPECT AVE, Syracuse, NY 13203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Jesuitas Manansala 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 ID1254682735
PECOS Enrollment IDI20180921002040
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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Family Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Mark Manansala's NPI number?

The NPI number for Mark Manansala is 1437643566. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Mark Manansala located?

Mark Manansala practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Mark Manansala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Manansala enrolled in Medicare?

Yes. Mark Manansala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Manansala affiliated with any hospitals?

According to CMS data, Mark Manansala is affiliated with Crouse Hospital.

When was this NPI record last updated?

The NPPES record for Mark Manansala was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.