ANNALISE EMMA MANN DO
NPI 1710672902
Family Medicine in Fairplay, CO
About Annalise Emma Mann Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNALISE EMMA MANN DO (NPI 1710672902) is an individual family medicine provider in Fairplay, Colorado, licensed in Montana (166773) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Annalise Emma Mann Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Annalise Mann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairplay, CO 80440
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1730258971 (Colorado)
- 206 clinicians in this Medicare group
Missoula, MT 59801
- Reassigned Medicare billing, Montana enrollment
- 91 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St. Patrick Hospital
Acute Care Hospitals · Missoula, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRPLAY, CO 80440
FAIRPLAY, CO 80440
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 Annalise Mann's NPI number?
The NPI number for Annalise Mann is 1710672902. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Annalise Mann located?
Annalise Mann practices at 525 Hathaway St, Fairplay, CO 80440. The listed phone number is (719) 832-0334.
What is Annalise Mann's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Annalise Mann enrolled in Medicare?
Yes. Annalise Mann is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Annalise Mann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annalise Mann reassigns Medicare benefits to 2 organizations: Salida Hospital District (Fairplay, CO) and Partnership Health Center Inc (Missoula, MT). 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 Annalise Mann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annalise Mann accept?
Health plans from Providence Health Plan list Annalise 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 Annalise Mann affiliated with any hospitals?
According to CMS data, Annalise Mann is affiliated with St. Patrick Hospital.
When was this NPI record last updated?
The NPPES record for Annalise Mann was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Annalise Emma Mann, DO · NPI 1710672902
Family Medicine physician in Fairplay, Colorado. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1710672902 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 166773 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 HATHAWAY ST, Fairplay, CO 80440
- **Phone:** (719) 832-0334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Salida Hospital District (NPI 1649982257, Fairplay, CO); Partnership Health Center Inc (NPI 1750926762, Missoula, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2023
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710672902) · Data from the CMS NPPES public registry.