ELIZABETH MANN PA-C
NPI 1679712053
Physician Assistant - Surgical in New London, CT

Active since February 09, 2009PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
365 MONTAUK AVE STE 2.013, LMH UROLOGY, NEW LONDON, CT 06320(860) 271-4275(860) 271-4278 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Apr 30, 2019, Apr 8, 2019 (3 updates tracked since 2019).

About Elizabeth Mann Pa-c NPPES

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

ELIZABETH MANN PA-C (NPI 1679712053) is an individual surgical provider in New London, Connecticut, licensed in Connecticut (4369) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1679712053
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIZABETH MANNCredential: PA-C
Location Address365 MONTAUK AVE STE 2.013, LMH UROLOGYNew London, CT 06320-4700
Mailing Address365 Montauk Ave Ste 2.013New London, CT 06320-4700 · (860) 271-4275 · Fax (860) 271-4278
Fax(860) 271-4278
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 9, 2009
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPI 1679712053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in CT · 4369 Licensed in RI · PA00482
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2591 (MA)
365 MONTAUK AVE STE 2.013, New London, CT 06320

Secondary Practice Location 1

Location 12 Dudley St, MOC Suite 174Providence, RI 02905 · Phone (401) 444-8570

Accepted 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

Elizabeth Mann Pa-c 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 ID2668639600
PECOS Enrollment IDI20241223001544
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.

Hospital Affiliations CMS Care Compare 3

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims1,260 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers23 claims2,220 services$6.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Urology
365 MONTAUK AVE STE 2.013
NEW LONDON, CT 06320

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 Elizabeth Mann's NPI number?

The NPI number for Elizabeth Mann is 1679712053. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Elizabeth Mann located?

Elizabeth Mann practices at 365 Montauk Ave Ste 2.013 Lmh Urology, New London, CT 06320. The listed phone number is (860) 271-4275.

What is Elizabeth Mann's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elizabeth Mann enrolled in Medicare?

Yes. Elizabeth Mann 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 Elizabeth Mann accept?

Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Mann 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 Elizabeth Mann affiliated with any hospitals?

According to CMS data, Elizabeth Mann is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Elizabeth Mann was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.