JENNINA MANZANO FNP
NPI 1467112623
Nurse Practitioner - Acute Care in South Pasadena, CA

Q: What is Jennina Manzano's NPI number?

The NPI number for Jennina Manzano is 1467112623. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Q: What is Jennina Manzano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennina Manzano was last updated on December 14, 2023. 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 December 29, 2021PECOS EnrolledAccepts Medicare Assignment

209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(626) 396-2900(626) 799-2889 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Oct 2, 2023, Sep 1, 2023 and 1 more (4 updates tracked since 2021).

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About Jennina Manzano Fnp NPPES

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

JENNINA MANZANO FNP (NPI 1467112623) is an individual acute care provider in South Pasadena, California, licensed in California (95018170) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467112623

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNINA MANZANOCredential: FNP

Location Address209 FAIR OAKS AVESouth Pasadena, CA 91030-1814

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(626) 396-2900

Fax(626) 799-2889

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 29, 2021

Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1467112623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95018170

209 FAIR OAKS AVE, South Pasadena, CA 91030

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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 and accepts Medicare assignment

Jennina Manzano Fnp 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 ID1052761293

PECOS Enrollment IDI20231229001255

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

189 services116 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

47 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

DANIEL JAE KIM M.D.

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