DR. MICHELLE NICOLE MANZELLA (OD) – Optometrist, NPI 1821613266

DR. MICHELLE NICOLE MANZELLA (OD) is a healthcare provider. based in Elmhurst, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011437 (IL). The NPI Number for DR. MICHELLE NICOLE MANZELLA (OD) is 1821613266

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE NICOLE MANZELLA (OD)
NPI
1821613266
Phone
(630) 834-6244
Address
370 N YORK ST
Enumeration Date
11 June 2020
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6308346244
Graduation Year
2020 (6 years ago)
PAC ID
8820416530
Group Practice PAC ID
4082793047
Professional Enrollment ID
I20210210001855
Address ID
IL601262320EL370XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. MICHELLE NICOLE MANZELLA (OD)

  • 370 N YORK ST

    ELMHURST, IL 601262320

    Phone: (630) 834-6244

    Fax: (630) 834-2209

    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)

CMS reports 14 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: CooperVision Inc. ($150).

Total Amount

$385

General + Research + Ownership

Payments

14

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2021-02-10

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
I20210210001855IOptometryILTBD

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
92014Established patient complete exam of visual system117116$0
92250Photography of the retina8281$0
99213Established patient office or other outpatient visit, 20-29 minutes6345$0
92134Imaging of retina4746$0
92133Imaging of optic nerve2121$0
View full utilization report →

Insurance plans in this area (ZIP 60126)

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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: 4082793047View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Does DR. MICHELLE NICOLE MANZELLA (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHELLE NICOLE MANZELLA (OD) uses 1821613266.
Is DR. MICHELLE NICOLE MANZELLA (OD) listed as active for patients and plans?
The listing shows DR. MICHELLE NICOLE MANZELLA (OD) as active in the NPI system.
What healthcare role does DR. MICHELLE NICOLE MANZELLA (OD) hold?
Scheduling teams often label DR. MICHELLE NICOLE MANZELLA (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHELLE NICOLE MANZELLA (OD) on a map?
Expect Elmhurst, Illinois as a primary anchor for DR. MICHELLE NICOLE MANZELLA (OD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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