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MS. MANELISA UY DOU NURSE PRACTITIONER
NPI 1619220167
Nurse Practitioner - Women's Health in San Jose, CA

Active since October 22, 2012PECOS EnrolledAccepts Medicare Assignment
2506 SAMARITAN CT FL 3, SAN JOSE, CA 95124(408) 523-3870 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Manelisa Uy Dou Nurse Practitioner NPPES

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

MS. MANELISA UY DOU NURSE PRACTITIONER (NPI 1619220167) is an individual women's health provider in San Jose, California, licensed in California (22417) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619220167
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. MANELISA UY DOUCredential: NURSE PRACTITIONER
Location Address2506 SAMARITAN CT FL 3San Jose, CA 95124-4001
Mailing Address2506 Samaritan Ct Fl 3San Jose, CA 95124-4001 · (408) 523-3870
Phone(408) 523-3870
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 22, 2012
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1619220167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in CA · 22417
2506 SAMARITAN CT FL 3, San Jose, CA 95124
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Manelisa Uy Dou Nurse Practitioner 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 ID4587882717
PECOS Enrollment IDI20140828002542
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Manelisa Dou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation
17 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121
Alameda Health System
20 mi
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1497956288 (510) 505-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

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 Manelisa Dou's NPI number?

The NPI number for Manelisa Dou is 1619220167. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Manelisa Dou located?

Manelisa Dou practices at 2506 Samaritan Ct Fl 3, San Jose, CA 95124. The listed phone number is (408) 523-3870.

What is Manelisa Dou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Manelisa Dou enrolled in Medicare?

Yes. Manelisa Dou 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.

Which organizations bill Medicare for Manelisa Dou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manelisa Dou reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Palo Alto, CA) and Alameda Health System (Newark, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manelisa Dou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manelisa Dou was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.