SAMANTHA MARIE MANSO NP
NPI 1720800238
Clinic/Center - Urgent Care in Burbank, IL

Active since October 26, 2024PECOS EnrolledAccepts Medicare Assignment
4817 W 83RD ST, BURBANK, IL 60459(708) 966-6241 Get Directions Write a Review

NPPES record last updated: October 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Manso Np NPPES

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

SAMANTHA MARIE MANSO NP (NPI 1720800238) is an individual urgent care provider in Burbank, Illinois and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720800238
Entity TypeIndividualFemale
Primary Taxonomy261QU0200X
Provider Legal NameSAMANTHA MARIE MANSOCredential: NP
Location Address4817 W 83RD STBurbank, IL 60459-2790
Mailing Address5716 S Rutherford AveChicago, IL 60638-3237 · (773) 606-4553
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 26, 2024
NPPES CertifiedOctober 26, 2024
NPI 1720800238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4817 W 83RD ST, Burbank, IL 60459

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

Samantha Marie Manso 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 ID2163921610
PECOS Enrollment IDI20250820001722
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

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60459 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 15

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

Counselor (Professional)
4817 W 83RD ST
BURBANK, IL 60459
Dentist (General Practice)
4817 W 83RD ST
BURBANK, IL 60459
Dentist
4817 W 83RD ST
BURBANK, IL 60459
Internal Medicine (Cardiovascular Disease)
4817 W 83RD ST
BURBANK, IL 60459
Dentist (Periodontics)
4817 W 83RD ST
BURBANK, IL 60459
Internal Medicine
4817 W 83RD ST
BURBANK, IL 60459
Pharmacy (Community/Retail Pharmacy)
4817 W 83RD ST
BURBANK, IL 60459
Dentist (General Practice)
4817 W 83RD ST
BURBANK, IL 60459

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 Samantha Manso's NPI number?

The NPI number for Samantha Manso is 1720800238. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Samantha Manso located?

Samantha Manso practices at 4817 W 83rd St, Burbank, IL 60459. The listed phone number is (708) 966-6241.

What is Samantha Manso's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Samantha Manso enrolled in Medicare?

Yes. Samantha Manso 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.

Is Samantha Manso affiliated with any hospitals?

According to CMS data, Samantha Manso is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Manso was last updated on October 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.