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MRS. MANJJU AGNES PULICKAL CRNA
NPI 1972801629
Nurse Anesthetist, Certified Registered in Mt. Kisco, NY

Active since March 04, 2011PECOS Enrolled
46.33/100
CMS Quality Rating
344 MAIN ST, SUITE 104, MT. KISCO, NY 10549(914) 242-3652(914) 244-8983 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Manjju Agnes Pulickal Crna NPPES

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

MRS. MANJJU AGNES PULICKAL CRNA (NPI 1972801629) is an individual nurse anesthetist, certified registered in Mt. Kisco, New York, licensed in New York (597810) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1972801629
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. MANJJU AGNES PULICKALCredential: CRNA
Location Address344 MAIN ST, SUITE 104Mt. Kisco, NY 10549
Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (855) 851-4405
Phone(914) 242-3652
Fax(914) 244-8983
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 4, 2011
Last NPPES UpdateMarch 3, 2016
✔ NPI 1972801629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NY · 597810✔ Licensed in NJ · 26NJ00321900
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
344 MAIN ST, Mt. Kisco, NY 10549
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Other Names 1

Other Name (5)Manjju Agnes Thadathil Crna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Manjju Agnes Pulickal Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709051584
PECOS Enrollment IDI20111206000271, I20131009001804
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

4

Medicare enrollment records show Manjju Pulickal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Anesthesiology, PC
1.9 mi
Anesthesiology
480 BEDFORD RD BLDG B
Chappaqua, NY 10514
  • Reassigned Medicare billing, New York enrollment
  • 1,406 clinicians in this Medicare group
NPI 1417401266 (914) 666-8866
Montefiore Medical Center
23 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
North Shore-Lij Medical PC
29 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Anesthesia Associates Of Morristown PA
48 mi
Specialist
100 MADISON AVE, MORRISTOWN MEDICAL CENTER
Morristown, NJ 07962
  • Reassigned Medicare billing, New Jersey enrollment
  • 207 clinicians in this Medicare group
NPI 1922057678 (201) 943-5831

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
52 services51 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
18 services18 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330162
Location400 East Main StreetMount Kisco, NY 10549 · Westchester County
Emergency services Birthing friendly

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.51
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

MS. ELIZABETH A BATTLE SPEECH LANGUAGE PATH
Speech-Language Pathologist
344 MAIN ST, NORTHERN WESTCHESTER CENTER FOR SPEECH DISORDERS
MOUNT KISCO, NY 10549
Westchester County (914) 666-9553
MS. HEATHER M GEARY S.L.P.
Speech-Language Pathologist
344 MAIN ST, SUITE 402
MOUNT KISCO, NY 10549
Westchester County (914) 666-9553

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 Manjju Pulickal's NPI number?

The NPI number for Manjju Pulickal is 1972801629. It was assigned to this individual provider in the NPPES registry on March 4, 2011. The provider is also known as Manjju Agnes Thadathil Crna.

Where is Manjju Pulickal located?

Manjju Pulickal practices at 344 Main St Suite 104, Mt. Kisco, NY 10549. The listed phone number is (914) 242-3652.

What is Manjju Pulickal's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Manjju Pulickal enrolled in Medicare?

Yes. Manjju Pulickal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Manjju Pulickal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manjju Pulickal reassigns Medicare benefits to 4 organizations: North Shore - Lij Anesthesiology, PC (Chappaqua, NY), Montefiore Medical Center (Bronx, NY), North Shore-Lij Medical PC (Great Neck, NY) and Anesthesia Associates Of Morristown PA (Morristown, NJ). Each 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 Manjju Pulickal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Manjju Pulickal affiliated with any hospitals?

According to CMS data, Manjju Pulickal is affiliated with Morristown Medical Center, Northern Westchester Hospital, St John's Riverside Hospital and Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Manjju Pulickal was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.