JULIANA MANTEY – Nurse Practitioner, NPI 1255056990

JULIANA MANTEY is a healthcare provider. based in Newington, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 011064 (CT). The NPI Number for JULIANA MANTEY is 1255056990

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JULIANA MANTEY
NPI
1255056990
Phone
(860) 416-5971
Address
614 FENN RD
Enumeration Date
5 October 2022
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037568021
Graduation Year
2020 (6 years ago)
PAC ID
0446628598
Group Practice PAC ID
6305750480
Professional Enrollment ID
I20221121000951
Address ID
CT067061748WA1302XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for JULIANA MANTEY

  • 614 FENN RD

    NEWINGTON, CT 061111704

    Phone: (860) 416-5971

    Type: Mailing

  • 80 PHOENIX AVE

    WATERBURY, CT 067021418

    Phone: (203) 756-8021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 178 Open Payments records for all available years, with a total value of $4,127.

Total Amount is formed as General ($4,127) + Research ($0) + Ownership ($0) = $4,127.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Gilead Sciences, Inc. ($1,047).

Total Amount

$4,127

General + Research + Ownership

Payments

178

Total payment records

General Amount

$4,127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-21

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
I20221121000951INurse PractitionerCTTBD

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 06111)

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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: 6305750480View full group profile
NameSpecialtyState
Clinical Social WorkerCT
P O D I A T R YKS
Nurse PractitionerCT
Certified Nurse Midwife (Cnm)CT
-CT
P S Y C H I A T R YCT
-CO
Clinical Social WorkerCT
Registered Dietitian Or Nutrition ProfessionalCT
Geriatric MedicineMA

Reviews

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Frequently asked questions

How do I look up JULIANA MANTEY by NPI?
Use NPI 1255056990 when you need to reference JULIANA MANTEY in forms, claims, or directories.
Does this profile mean JULIANA MANTEY is currently active?
Yes — JULIANA MANTEY appears active in the national provider directory.
Does JULIANA MANTEY list a primary specialty?
If you are matching referrals, note Nurse Practitioner for JULIANA MANTEY. Clinical services aligned with this taxonomy classification.
Does JULIANA MANTEY practice in Connecticut?
You will see Newington, Connecticut on file for JULIANA MANTEY alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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