MANUEL SIERRA M.D.
NPI 1861467375
Psychiatry & Neurology - Child & Adolescent Psychiatry in Idaho Falls, ID

Q: What is Manuel Sierra's NPI number?

The NPI number for Manuel Sierra is 1861467375. It was assigned to this individual provider in the NPPES registry on February 19, 2006.

Q: What is Manuel Sierra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Sierra was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 February 19, 2006PECOS Enrolled

1740 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404(208) 346-7500 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Manuel Sierra M.d. NPPES

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

MANUEL SIERRA M.D. (NPI 1861467375) is an individual child & adolescent psychiatry provider in Idaho Falls, Idaho, licensed in Idaho (M10460) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2002).

NPPES Registry Identity

NPI1861467375

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMANUEL SIERRACredential: M.D.

Location Address1740 E 17TH ST, SUITE AIdaho Falls, ID 83404-6375

Mailing Address300 Valleyview DrPocatello, ID 83204-4708 · (208) 244-2707

Phone(208) 346-7500

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2002

Enumeration DateFebruary 19, 2006

Last NPPES UpdateMay 28, 2009

✔ NPI 1861467375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in ID · M10460✔ Licensed in MA · 227980

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A85395 (CA)

1740 E 17TH ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel Sierra M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759330343

PECOS Enrollment IDI20090610000683

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 Reassignments

Medicare enrollment records show Manuel Sierra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center Counseling, LLC

45 mi

Mental Health

265 EAST CHUBBUCK
Chubbuck, ID 83202

Reassigned Medicare billing, Idaho enrollment
18 clinicians in this Medicare group

NPI 1104374974 (208) 406-3399

Mental Health Specialists

46 mi

Clinical

210 W BURNSIDE AVE, SUITE A
Chubbuck, ID 83202

Reassigned Medicare billing, Idaho enrollment
16 clinicians in this Medicare group

NPI 1548585458 (208) 238-9000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

49 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services11 patients

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.

LISA J RUSSOM LSW

Social Worker