JOAN MARIE MANZELLA (ARNP) – Nurse Practitioner, NPI 1861857039

JOAN MARIE MANZELLA (ARNP) is a healthcare provider. based in Mena, Arkansas. specializing in Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. N-51475 (ID). The NPI Number for JOAN MARIE MANZELLA (ARNP) is 1861857039

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JOAN MARIE MANZELLA (ARNP)
NPI
1861857039
Phone
(479) 394-2932
Address
139 School Ln
Enumeration Date
15 December 2015
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096843701
Graduation Year
2015 (11 years ago)
PAC ID
1850694811
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20181231001530

Contacts

Secure Messaging
jmanzella520547@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:10State licenses:5Other namesUpdated within 12 months

Provider Addresses for JOAN MARIE MANZELLA (ARNP)

  • 139 School Ln

    Mena, AR 719538432

    Phone: (479) 394-2932

    Fax: (479) 394-2935

    Type: Location

  • 136 Health Park Dr

    Mena, AR 719539072

    Phone: (479) 437-3449

    Fax: (479) 437-3708

    Type: Location

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (509) 684-3701

    Fax: (509) 227-7070

    Type: Mailing

  • 143 GARDEN HOMES DR

    COLVILLE, WA 99114

    Phone: (509) 684-3701

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230502003168INurse PractitionerHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71953)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345139929View full group profile

Reviews

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Frequently asked questions

Is JOAN MARIE MANZELLA (ARNP) listed with a National Provider Identifier?
Yes — JOAN MARIE MANZELLA (ARNP) has NPI 1861857039 on file in the registry.
Is JOAN MARIE MANZELLA (ARNP) still an active registrant?
JOAN MARIE MANZELLA (ARNP) carries an active NPI according to the public dataset.
What kind of doctor is JOAN MARIE MANZELLA (ARNP)?
JOAN MARIE MANZELLA (ARNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Arkansas is JOAN MARIE MANZELLA (ARNP) registered?
Use Mena, Arkansas as the headline location for JOAN MARIE MANZELLA (ARNP) here.
Does JOAN MARIE MANZELLA (ARNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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