REY KENNETH MANZANO FNP-BC, NP-C - NPI 1528735339 - Nurse Practitioner in Fresno, CA

Q: What is Rey Manzano's NPI number?

The NPI number for Rey Manzano is 1528735339. It was assigned to this individual provider in the NPPES registry on August 28, 2021.

Q: What is Rey Manzano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rey Manzano was last updated on January 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rey Kenneth Manzano Fnp-bc, Np-c NPPES

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

REY KENNETH MANZANO FNP-BC, NP-C (NPI 1528735339) is an individual family provider in Fresno, California, licensed in California (95018083) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528735339

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameREY KENNETH MANZANOCredential: FNP-BC, NP-C

Location Address2555 S EAST AVEFresno, CA 93706-5104

Mailing Address2555 S East Ave, FresnoFresno, CA 93706 · (559) 499-2400

Phone(559) 499-2400

Sole ProprietorNo

Enumeration DateAugust 28, 2021

Last NPPES UpdateJanuary 9, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2022

✔ NPI 1528735339 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 · 95018083

2555 S EAST AVE, Fresno, CA 93706

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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 (PECOS)

Rey Kenneth Manzano Fnp-bc, Np-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93706 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.