ANTONETTE MANIGSACA
NPI 1609610484
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA

Q: What is Antonette Manigsaca's NPI number?

The NPI number for Antonette Manigsaca is 1609610484. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Q: What is Antonette Manigsaca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 25, 2024PECOS EnrolledAccepts Medicare Assignment

605 WOODLAND SQUARE LOOP SE, LACEY, WA 98503(360) 764-8400 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Antonette Manigsaca NPPES

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

ANTONETTE MANIGSACA (NPI 1609610484) is an individual psychiatric/mental health provider in Lacey, Washington, licensed in Washington (AP61616863) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609610484

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANTONETTE MANIGSACA

Location Address605 WOODLAND SQUARE LOOP SELacey, WA 98503-1045

Mailing Address605 Woodland Square Loop SeLacey, WA 98503-1045 · (360) 764-8400

Phone(360) 764-8400

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 25, 2024

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1609610484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61616863

605 WOODLAND SQUARE LOOP SE, Lacey, WA 98503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Antonette Manigsaca 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 ID6305375163

PECOS Enrollment IDI20250123000459

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 98503 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 12

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

ALYSSA SARAH JO CALLAHAN

Behavior Analyst