DR. REY JERICOH MANALESE DNP, PMHNP-BC
NPI 1649835554
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Rey Jericoh Manalese's NPI number?

The NPI number for Rey Jericoh Manalese is 1649835554. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Q: What is Rey Jericoh Manalese's specialty?

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

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment

20440 N 27TH AVE, PHOENIX, AZ 85027(480) 882-4545(602) 409-0499 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Dec 8, 2023, Jun 7, 2023 and 3 more (6 updates tracked since 2019).

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About Dr. Rey Jericoh Manalese Dnp, Pmhnp-bc NPPES

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

DR. REY JERICOH MANALESE DNP, PMHNP-BC (NPI 1649835554) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (227249) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649835554

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. REY JERICOH MANALESECredential: DNP, PMHNP-BC

Location Address20440 N 27TH AVEPhoenix, AZ 85027-3240

Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (623) 624-7537 · Fax (602) 409-0499

Phone(480) 882-4545

Fax(602) 409-0499

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 6, 2019

Last NPPES UpdateJuly 10, 20266 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1649835554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 227249

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 227249 (AZ)

20440 N 27TH AVE, Phoenix, AZ 85027

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Secondary Practice Locations 2

Location 19627 W Potter DrPeoria, AZ 85382-5157 · Phone (623) 624-7537

Location 211851 N 51st Ave Ste B110Glendale, AZ 85304-2823 · Phone (480) 882-4545

Other Identifiers 1

Medicaid529991AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Dr. Rey Jericoh Manalese Dnp, Pmhnp-bc 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 ID4981931821

PECOS Enrollment IDI20190814003686

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

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

Neighborhood Outreach Access To Health

6.2 mi

Federally Qualified Health Center (FQHC)

11851 N 51ST AVE STE B110
Glendale, AZ 85304

Reassigned Medicare billing, Arizona enrollment
119 clinicians in this Medicare group

NPI 1629515218 (480) 882-4545

Community Bridges, Inc.

16 mi

Clinic/Center

2770 E VAN BUREN ST RM E
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
131 clinicians in this Medicare group

NPI 1235849993 (480) 831-7566

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 85027 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

NANETTE M KLAUS LPC

Counselor (Mental Health)