JOSEPHINE MANNINO (PA-C) – Gastroenterology Physician, NPI 1316837008

JOSEPHINE MANNINO (PA-C) is a healthcare provider. based in Orange city, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9120385 (FL). The NPI Number for JOSEPHINE MANNINO (PA-C) is 1316837008

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSEPHINE MANNINO (PA-C)
NPI
1316837008
Phone
(386) 668-2221
Address
2884 WELLNESS AVE STE 100
Enumeration Date
7 July 2025
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4077496656
Graduation Year
2025 (1 year ago)
PAC ID
3971017864
Group Practice PAC ID
8628960937
Professional Enrollment ID
I20250710003641
Address ID
FL327462293LA835XXCIRX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for JOSEPHINE MANNINO (PA-C)

  • 2884 WELLNESS AVE STE 100

    ORANGE CITY, FL 327638427

    Phone: (386) 668-2221

    Mailing address matches the actual address.

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: 2025-07-10

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
I20250710003641IPhysician AssistantFLTBD

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 32763)

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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: 8628960937View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI
Gastroenterology, Internal MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
Gastroenterology, Internal MedicineFL
Physician AssistantFL
Gastroenterology, Internal MedicineFL

Reviews

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Frequently asked questions

What is the registry number for JOSEPHINE MANNINO (PA-C)?
The registry entry for JOSEPHINE MANNINO (PA-C) shows NPI 1316837008.
Quick check: is JOSEPHINE MANNINO (PA-C) active?
Public NPPES data shows JOSEPHINE MANNINO (PA-C) with an active NPI status right now.
How should patients interpret JOSEPHINE MANNINO (PA-C)'s specialty?
The extract shows Gastroenterology Physician for JOSEPHINE MANNINO (PA-C). Clinical services aligned with this taxonomy classification.
Is JOSEPHINE MANNINO (PA-C) tied to Orange City, Florida?
If you are local to Orange City, Florida, JOSEPHINE MANNINO (PA-C) may be relevant to your search.
Why is information missing for JOSEPHINE MANNINO (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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