CLARISSA MANCHENO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407103369

CLARISSA MANCHENO (CRNA) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP3232412 (FL). The NPI Number for CLARISSA MANCHENO (CRNA) is 1407103369

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CLARISSA MANCHENO (CRNA)
NPI
1407103369
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
10 August 2012
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046440700
Graduation Year
2012 (14 years ago)
PAC ID
0840449435
Group Practice PAC ID
6002084860
Professional Enrollment ID
I20120925000306
Address ID
FL320034820OR1670XPKWY401

Contacts

Secure Messaging
cmancheno396884@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for CLARISSA MANCHENO (CRNA)

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,878.

Total Amount is formed as General ($1,878) + Research ($0) + Ownership ($0) = $1,878.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,680).

Total Amount

$1,878

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,878

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2024-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120925000306ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20240717005090ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3129$0
00520Anesthesia for other closed procedure on chest2120$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00142Anesthesia for lens surgery1312$0
01230Anesthesia for procedure on upper 2/3rd of thigh bone1111$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

Loading plans...

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: 6002084860View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for CLARISSA MANCHENO (CRNA)?
CLARISSA MANCHENO (CRNA) — NPI 1407103369 — is the standard way to identify this listing.
Does CMS list CLARISSA MANCHENO (CRNA) as active?
Yes — CLARISSA MANCHENO (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes CLARISSA MANCHENO (CRNA)?
For research purposes, treat CLARISSA MANCHENO (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CLARISSA MANCHENO (CRNA) based?
CLARISSA MANCHENO (CRNA) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

ARLES L RUSTIA (CRNA)

Certified Registered Nurse Anesthetist
4500 SAN PABLO RD S
NPI: 1699770180

MS. NANCY DALTON (CRNA)

Certified Registered Nurse Anesthetist
8787, Southside Boulevard, Belle Rive, Baymeadows, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1962403964
221, Hogan Street, Jacksonville, Duval County, Florida, 32202, United States
NPI: 1235130683
Old Saint Augustine Road, Bayard, Jacksonville, Duval County, Florida, 32258, United States
NPI: 1588665863
2151, Riverside Avenue, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1639161466

RUSSELL SCOTT AVERA (CRNA)

Certified Registered Nurse Anesthetist
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1730174814

MRS. DONNA DORMAN SMITH (CRNA)

Certified Registered Nurse Anesthetist
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1386630846

SUSAN KOSILLA (CRNA)

Certified Registered Nurse Anesthetist
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
NPI: 1548256274

MR. SAID RICARDO ACOSTA (CRNA)

Certified Registered Nurse Anesthetist
10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1013904481