1. Home
  2. Directory
  3. New Jersey
  4. Galloway
  5. Nurse Practitioner
  6. NPI Profile

JESSICA LYNN MANNING
NPI 1639031479
Nurse Practitioner - Psychiatric/Mental Health in Galloway, NJ

Active since December 01, 2025PECOS Enrolled
630 E LOST PINE WAY RD, GALLOWAY, NJ 08205(609) 205-5595 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Jessica Lynn Manning NPPES

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

JESSICA LYNN MANNING (NPI 1639031479) is an individual psychiatric/mental health provider in Galloway, New Jersey, licensed in New Jersey (26NJ15478000) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639031479
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA LYNN MANNING
Location Address630 E LOST PINE WAY RDGalloway, NJ 08205-9688
Mailing Address630 E Lost Pine Way RdGalloway, NJ 08205-9688 · (609) 205-5595
Phone(609) 205-5595
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 1, 2025
Last NPPES UpdateMay 23, 20262 updates tracked since enumeration
NPPES CertifiedMay 23, 2026
✔ NPI 1639031479 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 NJ · 26NJ15478000
630 E LOST PINE WAY RD, Galloway, NJ 08205
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Manning is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153899653
PECOS Enrollment IDI20260504005187
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 08205 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

ITS GONNA BE GREAT LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
630 E LOST PINE WAY RD
GALLOWAY, NJ 08205
Atlantic County (609) 205-5595

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 Jessica Manning's NPI number?

The NPI number for Jessica Manning is 1639031479. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Jessica Manning located?

Jessica Manning practices at 630 E Lost Pine Way Rd, Galloway, NJ 08205. The listed phone number is (609) 205-5595.

What is Jessica Manning's specialty?

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

Is Jessica Manning enrolled in Medicare?

Yes. Jessica Manning is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Manning was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.