MISS ASHLEY MANGANIELLO
NPI 1629431994
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Active since April 03, 2016PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-2000 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2023, Apr 3, 2016 (2 updates tracked since 2016).

About Miss Ashley Manganiello NPPES

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

MISS ASHLEY MANGANIELLO (NPI 1629431994) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2016).

NPPES Registry Identity

NPI1629431994
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS ASHLEY MANGANIELLO
Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450
Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-2000
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2016
Enumeration DateApril 3, 2016
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
✔ NPI 1629431994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E LANCASTER AVE, Wynnewood, PA 19096

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

Miss Ashley Manganiello 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 ID8325320633
PECOS Enrollment IDI20220920000903
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 Reassignment

Medicare enrollment records show Ashley Manganiello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

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 Ashley Manganiello's NPI number?

The NPI number for Ashley Manganiello is 1629431994. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Ashley Manganiello located?

Ashley Manganiello practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-2000.

What is Ashley Manganiello's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ashley Manganiello enrolled in Medicare?

Yes. Ashley Manganiello 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 organization bills Medicare for Ashley Manganiello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Manganiello reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Ashley Manganiello'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 Ashley Manganiello was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.