LISETTE V. MANRIQUEZ NP
NPI 1760058911
Nurse Practitioner - Psychiatric/Mental Health in San Ysidro, CA

Q: What is Lisette Manriquez's NPI number?

The NPI number for Lisette Manriquez is 1760058911. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Q: What is Lisette Manriquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisette Manriquez was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment

4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100(619) 474-3722 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2023, Dec 12, 2022, May 28, 2021 (3 updates tracked since 2021).

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About Lisette V. Manriquez Np NPPES

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

LISETTE V. MANRIQUEZ NP (NPI 1760058911) is an individual psychiatric/mental health provider in San Ysidro, California, licensed in California (NP95021930) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760058911

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISETTE V. MANRIQUEZCredential: NP

Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007

Mailing Address4004 Beyer BlvdSan Ysidro, CA 92173-2007 · (619) 662-4100 · Fax (619) 474-3722

Phone(619) 662-4100

Fax(619) 474-3722

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 28, 2021

Last NPPES UpdateApril 17, 20253 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1760058911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95021930

Also ListedRegistered NurseTaxonomy 163W00000X · License 95238600 (CA)

4004 BEYER BLVD, San Ysidro, CA 92173

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Secondary Practice Location 1

Location 13020 Childrens WaySan Diego, CA 92123-4223 · Phone (858) 576-1700

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

Lisette V. Manriquez 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 ID3870963531

PECOS Enrollment IDI20221221002721

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 92173 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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.

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC

Clinic/Center (Rural Health)