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SOLEIMA DALLANA MANTILLA NP
NPI 1669183463
Nurse Practitioner - Gerontology in Mansfield, TX

Active since December 12, 2022PECOS EnrolledAccepts Medicare Assignment
1900 MATLOCK RD STE 804, MANSFIELD, TX 76063(682) 800-3211 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2023, Dec 12, 2022 (2 updates tracked since 2022).

About Soleima Dallana Mantilla Np NPPES

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

SOLEIMA DALLANA MANTILLA NP (NPI 1669183463) is an individual gerontology provider in Mansfield, Texas, licensed in Texas (1093926) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669183463
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSOLEIMA DALLANA MANTILLACredential: NP
Location Address1900 MATLOCK RD STE 804Mansfield, TX 76063-4455
Mailing Address1900 Matlock Rd Ste 804Mansfield, TX 76063-4455 · (682) 800-3211
Phone(682) 800-3211
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2022
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1669183463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1093926
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1093926 (TX)
1900 MATLOCK RD STE 804, Mansfield, TX 76063
Open in Google Maps ↗

Secondary Practice Location 1

Location 18110 Park Ln Apt 227Dallas, TX 75231-6088 · Phone (214) 763-9446

Other Identifiers 1

Other45220TX · Texas Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soleima Dallana Mantilla Np 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 ID9537516307
PECOS Enrollment IDI20231116000163
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
80 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
68 services18 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
63 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 4

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

AVAIL HEALTH AND WELLNESS
Family Medicine (Obesity Medicine)
1900 MATLOCK RD STE 804
MANSFIELD, TX 76063
Tarrant County (682) 400-8537
DR. BRANDY LYNNETTE YEARY M.D.
Family Medicine
1900 MATLOCK RD STE 804
MANSFIELD, TX 76063
Tarrant County (682) 800-3211
MRS. LA'SHEAH MONIQUE STEWART NP
Nurse Practitioner (Primary Care)
1900 MATLOCK RD STE 804
MANSFIELD, TX 76063
Tarrant County (682) 800-3211
INDYIA LACOUNT FNP
Nurse Practitioner
1900 MATLOCK RD STE 804
MANSFIELD, TX 76063
Tarrant County (682) 800-3211

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 Soleima Mantilla's NPI number?

The NPI number for Soleima Mantilla is 1669183463. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Soleima Mantilla located?

Soleima Mantilla practices at 1900 Matlock Rd Ste 804, Mansfield, TX 76063. The listed phone number is (682) 800-3211.

What is Soleima Mantilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Soleima Mantilla enrolled in Medicare?

Yes. Soleima Mantilla 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.

What insurance does Soleima Mantilla accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Soleima Mantilla 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.

When was this NPI record last updated?

The NPPES record for Soleima Mantilla was last updated on July 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.