NATASHA VICTORIA RODRIGUEZ MANCEBO PA-C
NPI 1588201115
Physician Assistant in Peoria, IL

Active since December 02, 2019PECOS Enrolled
711 W JOHN GWYNN AVE, PEORIA, IL 61605(309) 680-7600(309) 671-2188 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Physician Assistant
  • PECOS Enrolled

About NATASHA RODRIGUEZ MANCEBO

This page provides the complete NPI Profile along with additional information for Natasha Rodriguez Mancebo, a primary care provider established in Peoria, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1588201115 assigned on December 2019. The practitioner's primary taxonomy code is 363A00000X with license number 085007443 (IL). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1588201115 Verify this NPI
Provider Name
NATASHA VICTORIA RODRIGUEZ MANCEBO PA-C
Gender
Female
Entity Type
Individual
Location Address
711 W JOHN GWYNN AVE PEORIA, IL 61605
Location Phone
(309) 680-7600
Location Fax
(309) 671-2188
Mailing Address
2214 N UNIVERSITY ST PEORIA, IL 61604
Mailing Phone
(309) 680-7669
Mailing Fax
(309) 681-8443
Is Sole Proprietor?
No
Enumeration Date
12-02-2019
Last Update Date
12-02-2019
Code Navigator

A primary care provider (PCP) like Natasha Rodriguez Mancebo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085007443
License State
IL
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Medicare Participation & PECOS Enrollment Status

Natasha Rodriguez Mancebo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NATASHA VICTORIA RODRIGUEZ MANCEBO PA-C

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Family Medicine
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Social Worker (Clinical)
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Nurse Practitioner (Family)
711 W JOHN GWYNN AVE
PEORIA, IL 61605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588201115, enumerated as an "individual" on December 02, 2019.

The provider is located at 711 W JOHN GWYNN AVE PEORIA, IL 61605 and the phone number is (309) 680-7600.

Physician Assistant with taxonomy code 363A00000X.