MRS. WILMA JEANETTE MANLEY APRN
NPI 1881379782
Nurse Practitioner - Family in Tampa, FL

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
1905 W BUSCH BLVD, TAMPA, FL 33612(813) 365-3525 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Jun 19, 2023 (2 updates tracked since 2023).

About Mrs. Wilma Jeanette Manley Aprn NPPES

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

MRS. WILMA JEANETTE MANLEY APRN (NPI 1881379782) is an individual family provider in Tampa, Florida, licensed in Florida (11027032) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Valrico, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881379782
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. WILMA JEANETTE MANLEYCredential: APRN
Location Address1905 W BUSCH BLVDTampa, FL 33612-7675
Mailing Address2123 Valrico Vista DrValrico, FL 33594-3243 · (813) 365-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
NPI 1881379782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11027032
1905 W BUSCH BLVD, Tampa, FL 33612

Secondary Practice Location 1

Location 12123 Valrico Vista DrValrico, FL 33594-3243 · Phone (813) 523-9947

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

Mrs. Wilma Jeanette Manley Aprn 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 ID345732657
PECOS Enrollment IDI20251124004161
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 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

Internal Medicine
1905 W BUSCH BLVD
TAMPA, FL 33612
Internal Medicine
1905 W BUSCH BLVD
TAMPA, FL 33612
Nurse Practitioner (Family)
1905 W BUSCH BLVD
TAMPA, FL 33612
Nurse Practitioner (Primary Care)
1905 W BUSCH BLVD
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881379782, enumerated as an "individual" on June 19, 2023.

The provider is located at 1905 W BUSCH BLVD TAMPA, FL 33612 and the phone number is (813) 365-3525.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.