SANDRA R GATES-MANNA (NP) – Family Nurse Practitioner, NPI 1124396072

SANDRA R GATES-MANNA (NP) is a healthcare provider. based in La porte, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28125285A (IN). The NPI Number for SANDRA R GATES-MANNA (NP) is 1124396072

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA R GATES-MANNA (NP)
NPI
1124396072
Phone
(219) 326-2312
Address
PO BOX 1690
Enumeration Date
7 December 2011
Last Update Date
27 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199497540
Graduation Year
2011 (15 years ago)
PAC ID
0749431203
Group Practice PAC ID
5597794834
Professional Enrollment ID
I20121108000643
Address ID
IN464043060GA2054XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,241 NURSE PRACTITIONER in IN

Provider Addresses for SANDRA R GATES-MANNA (NP)

  • PO BOX 1690

    LA PORTE, IN 463521690

    Phone: (219) 326-2312

    Fax: (219) 326-2584

    Type: Mailing

  • 1509 STATE ST

    LA PORTE, IN 463503115

    Phone: (219) 325-5434

    Fax: (219) 325-7655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $3,954.

Total Amount is formed as General ($3,954) + Research ($0) + Ownership ($0) = $3,954.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($994).

Total Amount

$3,954

General + Research + Ownership

Payments

93

Total payment records

General Amount

$3,954

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2012-11-08

PECOS data refreshed: 2026-06-15

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
I20121108000643INurse PractitionerINTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3316$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2615$0
99213Established patient office or other outpatient visit, 20-29 minutes2420$0
99202New patient office or other outpatient visit, 15-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 46352)

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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: 5597794834View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Nurse PractitionerIN
Family Practice, Internal MedicineIN

Reviews

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Frequently asked questions

What federal number belongs to SANDRA R GATES-MANNA (NP)?
The federal identifier for SANDRA R GATES-MANNA (NP) is NPI 1124396072.
Does this profile mean SANDRA R GATES-MANNA (NP) is currently active?
Yes — SANDRA R GATES-MANNA (NP) appears active in the national provider directory.
Does SANDRA R GATES-MANNA (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SANDRA R GATES-MANNA (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SANDRA R GATES-MANNA (NP)?
The page summarizes La Porte, Indiana for SANDRA R GATES-MANNA (NP); expand the address list for detail.
What if La Porte, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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