LISA M MANSE AGACNP
NPI 1679156079
Nurse Practitioner - Acute Care in Canton, OH

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment
227 HARTER AVE NW, CANTON, OH 44708(330) 754-9288 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa M Manse Agacnp NPPES

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

LISA M MANSE AGACNP (NPI 1679156079) is an individual acute care provider in Canton, Ohio, licensed in Ohio (APRN.CNP.0028878) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679156079
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA M MANSECredential: AGACNP
Location Address227 HARTER AVE NWCanton, OH 44708-5528
Mailing Address227 Harter Ave NwCanton, OH 44708-5528 · (330) 754-9288
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1679156079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0028878
227 HARTER AVE NW, Canton, OH 44708

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

Lisa M Manse Agacnp 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 ID1658763479
PECOS Enrollment IDI20220127002147
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

3

Medicare enrollment records show Lisa Manse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Ohio enrollment
  • 104 clinicians in this Medicare group
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Ohio enrollment
  • 98 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Ohio enrollment
  • 134 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Lisa Manse's NPI number?

The NPI number for Lisa Manse is 1679156079. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Lisa Manse located?

Lisa Manse practices at 227 Harter Ave NW, Canton, OH 44708. The listed phone number is (330) 754-9288.

What is Lisa Manse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Manse enrolled in Medicare?

Yes. Lisa Manse 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 Lisa Manse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Manse reassigns Medicare benefits to 3 organizations: Eventus Ecs, Inc (Indianapolis, IN), Eventus Wholehealth Midwest Inc (Columbus, IN) and Extended Care Specialists, Inc (Merrillville, IN). 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 Lisa Manse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Manse accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and MedMutual list Lisa Manse 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 Lisa Manse was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.