MRS. STEPHANIE ELIZABETH MANULKIN FNP-BC
NPI 1508280595
Nurse Practitioner - Family in Petaluma, CA

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2021, Nov 10, 2016 (2 updates tracked since 2016).

About Mrs. Stephanie Elizabeth Manulkin Fnp-bc NPPES

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

MRS. STEPHANIE ELIZABETH MANULKIN FNP-BC (NPI 1508280595) is an individual family provider in Petaluma, California, licensed in California (95000298) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508280595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STEPHANIE ELIZABETH MANULKINCredential: FNP-BC
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 11, 2014
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1508280595 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 · 95000298
1179 N MCDOWELL BLVD, Petaluma, CA 94954

Other Names 1

Former Name (1)Miss Stephanie Elizabeth Heron Fnp-bc

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

Mrs. Stephanie Elizabeth Manulkin Fnp-bc 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 ID2163655770
PECOS Enrollment IDI20211202000627
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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 20

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

Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954

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 Stephanie Manulkin's NPI number?

The NPI number for Stephanie Manulkin is 1508280595. It was assigned to this individual provider in the NPPES registry on February 11, 2014. The provider is also known as Miss Stephanie Elizabeth Heron Fnp-Bc.

Where is Stephanie Manulkin located?

Stephanie Manulkin practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Stephanie Manulkin's specialty?

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

Is Stephanie Manulkin enrolled in Medicare?

Yes. Stephanie Manulkin 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.

When was this NPI record last updated?

The NPPES record for Stephanie Manulkin was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.