MANALI AMIN
NPI 1699423574
Nurse Practitioner in Shawano, WI

Q: What is Manali Amin's NPI number?

The NPI number for Manali Amin is 1699423574. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Manali Amin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Manali Amin was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 10, 2022PECOS Enrolled

69.16/100

CMS Quality Rating

100 COUNTY ROAD B, SHAWANO, WI 54166(715) 526-8270 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 28, 2022, Mar 10, 2022 (2 updates tracked since 2022).

On this page

About Manali Amin NPPES

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

MANALI AMIN (NPI 1699423574) is an individual nurse practitioner in Shawano, Wisconsin, licensed in Wisconsin (11808) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699423574

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMANALI AMIN

Location Address100 COUNTY ROAD BShawano, WI 54166-7072

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 526-8270 · Fax (715) 526-3461

Phone(715) 526-8270

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 10, 2022

Last NPPES UpdateApril 28, 20222 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1699423574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 11808

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 251900 (WI)

100 COUNTY ROAD B, Shawano, WI 54166

Open in Google Maps ↗

Secondary Practice Location 1

Location 13221 Voyager DrGreen Bay, WI 54311-8349 · Phone (920) 256-0392

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manali Amin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264827336

PECOS Enrollment IDI20260507002707

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

69.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

55.76

Promoting Interoperability

Improvement Activities

Cost

78.94

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.

SHOPKO STORES OPERATING CO., LLC

Pharmacy (Community/Retail Pharmacy)