ANISLEIDY COSTA MANZANO FNP-C
NPI 1861038507
Nurse Practitioner - Family in Houston, TX

Active since November 18, 2019PECOS Enrolled
4828A MOUNT HOUSTON RD, HOUSTON, TX 77093(832) 604-4900 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2021, Nov 18, 2019 (2 updates tracked since 2019).

About Anisleidy Costa Manzano Fnp-c NPPES

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

ANISLEIDY COSTA MANZANO FNP-C (NPI 1861038507) is an individual family provider in Houston, Texas, licensed in Texas (1038890) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861038507
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANISLEIDY COSTA MANZANOCredential: FNP-C
Location Address4828A MOUNT HOUSTON RDHouston, TX 77093-1633
Mailing Address9107 Shango LnHouston, TX 77095-7060 · (832) 815-6374
Sole ProprietorNo
Enumeration DateNovember 18, 2019
Last NPPES UpdateMay 17, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1861038507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1038890
Also ListedRegistered NurseTaxonomy 163W00000X · License 936782 (TX)
4828A MOUNT HOUSTON RD, Houston, TX 77093

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)

Anisleidy Costa Manzano Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Anisleidy Costa Manzano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
4828A EAST MOUNT HOUSTON RD
Houston, TX 77093
  • Reassigned Medicare billing, Texas enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77093 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Anisleidy Costa Manzano's NPI number?

The NPI number for Anisleidy Costa Manzano is 1861038507. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Anisleidy Costa Manzano located?

Anisleidy Costa Manzano practices at 4828A Mount Houston Rd, Houston, TX 77093. The listed phone number is (832) 604-4900.

What is Anisleidy Costa Manzano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anisleidy Costa Manzano enrolled in Medicare?

Yes. Anisleidy Costa Manzano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anisleidy Costa Manzano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anisleidy Costa Manzano reassigns Medicare benefits to Acm Healthcare Group,llc (Houston, TX). The 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 Anisleidy Costa Manzano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anisleidy Costa Manzano accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Anisleidy Costa Manzano 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.

When was this NPI record last updated?

The NPPES record for Anisleidy Costa Manzano was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.