ANDREA TERESA DIMICHELE-MANES (M.D.) – Obstetrics & Gynecology Physician, NPI 1689774788
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREA TERESA DIMICHELE-MANES (M.D.)
11083 W 2 1/2 MILE RD
CHUBBUCK, ID 832025208
Phone: (910) 639-5703
Type: Mailing
215 E Hawaii Ave
Nampa, ID 836866011
Phone: (208) 463-3138
Fax: (208) 463-3047
Type: Location
310 E WALNUT ST
GARDEN CITY, KS 678465572
Phone: (620) 275-9752
Fax: (620) 275-4306
Type: Location
Saltzer Medical Group, 215, East Hawaii Avenue, Nampa, Canyon County, Idaho, 83686, United States
NAMPA, ID 836866011
Phone: (208) 463-3138
Fax: (208) 463-3047
Type: Mailing
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: 2024-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141021000774 | I | Obstetrics/Gynecology | ID | TBD |
| I20241107003977 | I | Obstetrics/Gynecology | ND | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 83202)
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Group practice members
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