PHYLLIS JOHNNA MANNA PA-C
NPI 1528294667
Physician Assistant - Medical in Branson, MO

Active since June 03, 2009PECOS Enrolled
101 SKAGGS RD, SUITE 302, BRANSON, MO 65616(417) 334-8288(417) 334-6966 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Johnna Manna Pa-c NPPES

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

PHYLLIS JOHNNA MANNA PA-C (NPI 1528294667) is an individual medical provider in Branson, Missouri, licensed in Missouri (2009013387) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528294667
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePHYLLIS JOHNNA MANNACredential: PA-C
Location Address101 SKAGGS RD, SUITE 302Branson, MO 65616-2075
Mailing Address101 Skaggs Rd, Suite 302Branson, MO 65616-2075 · (417) 334-8288 · Fax (417) 334-6966
Fax(417) 334-6966
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateOctober 17, 2019
NPI 1528294667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2009013387
101 SKAGGS RD, Branson, MO 65616

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phyllis Johnna Manna Pa-c 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.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Nephrology)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Dietitian, Registered (Nutrition, Renal)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Internal Medicine (Nephrology)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Clinic/Center
101 SKAGGS RD, SUITE 303
BRANSON, MO 65616
Internal Medicine (Nephrology)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Internal Medicine
101 SKAGGS RD, STE 103
BRANSON, MO 65616
Ophthalmology
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Physician Assistant (Medical)
101 SKAGGS RD
BRANSON, MO 65616

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 Phyllis Manna's NPI number?

The NPI number for Phyllis Manna is 1528294667. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Phyllis Manna located?

Phyllis Manna practices at 101 Skaggs Rd Suite 302, Branson, MO 65616. The listed phone number is (417) 334-8288.

What is Phyllis Manna's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Phyllis Manna enrolled in Medicare?

Yes. Phyllis Manna is registered in the Medicare PECOS enrollment system.

What insurance does Phyllis Manna accept?

Health plans from Arkansas Blue Cross and Blue Shield, Cox HealthPlans, Health Advantage and Octave list Phyllis Manna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyllis Manna was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.