EVAN SULLIVAN MANNING MD
NPI 1639630684
Internal Medicine - Cardiovascular Disease in Minneapolis, MN

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
500 HARVARD ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 16, 2025, Aug 19, 2024, Apr 28, 2024 (3 updates tracked since 2024).

About Evan Sullivan Manning Md NPPES

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

EVAN SULLIVAN MANNING MD (NPI 1639630684) is an individual cardiovascular disease provider in Minneapolis, Minnesota, licensed in Minnesota (76714) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Colorado School Of Medicine, Aurora (2019).

NPPES Registry Identity

NPI1639630684
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameEVAN SULLIVAN MANNINGCredential: MD
Location Address500 HARVARD ST SEMinneapolis, MN 55455-0363
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 625-9100
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2019
Enumeration DateMarch 30, 2019
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1639630684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MN · 76714
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 76714 (MN)
500 HARVARD ST SE, Minneapolis, MN 55455

Accepted Insurance

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

Evan Sullivan Manning Md 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 ID1658605233
PECOS Enrollment IDI20240830001115
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

6

Medicare enrollment records show Evan Manning reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Dietitian, Registered
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Registered Nurse (Critical Care Medicine)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN 55455
Pharmacist
500 HARVARD ST SE, SUITE 3-017
MINNEAPOLIS, MN 55455
Orthopaedic Surgery (Hand Surgery)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Physician Assistant
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Perfusionist
500 HARVARD ST SE
MINNEAPOLIS, MN 55455

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 Evan Manning's NPI number?

The NPI number for Evan Manning is 1639630684. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Evan Manning located?

Evan Manning practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Evan Manning's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Evan Manning enrolled in Medicare?

Yes. Evan Manning 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 Evan Manning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Manning reassigns Medicare benefits to 6 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), Grand Itasca Clinic And Hospital (Grand Rapids, MN) and 1 more organization, listed in the Medicare section above. 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 Evan Manning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Manning accept?

Health plans from Medica list Evan Manning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Evan Manning affiliated with any hospitals?

According to CMS data, Evan Manning is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, Grand Itasca Clinic And Hospital, M Health Fairview Southdale Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Evan Manning was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.