MICHELLE MANWARE (P.A.) – Physician Assistant, NPI 1366400541

MICHELLE MANWARE (P.A.) is a healthcare provider. based in Plymouth, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 1383 (MA). The NPI Number for MICHELLE MANWARE (P.A.) is 1366400541

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MANWARE (P.A.)
NPI
1366400541
Phone
(503) 830-6116
Address
100 ARMSTRONG RD
Enumeration Date
4 May 2006
Last Update Date
18 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082105920
Graduation Year
2001 (25 years ago)
PAC ID
7012175755
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20120227000238
Address ID
MA023602237PL46XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MICHELLE MANWARE (P.A.)

  • 100, Armstrong Road, Plymouth Mobile Estates, Plymouth, Plymouth County, Massachusetts, 02360-7310, United States

    PLYMOUTH, MA 023607219

    Phone: (503) 830-6116

    Fax: (508) 747-6308

    Type: Mailing

  • 118, Long Pond Road, South Pond, Plymouth, Plymouth County, Massachusetts, 02360, United States

    JORDAN HOSPITAL OB-GYN

    PLYMOUTH, MA 023602662

    Phone: (508) 830-3160

    Fax: (781) 340-3782

    Type: Location

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: 2012-02-27

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
I20120227000238IPhysician AssistantMATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes7743$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1212$0
View full utilization report →

Insurance plans in this area (ZIP 02360)

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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: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Nurse PractitionerMA

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Frequently asked questions

What is MICHELLE MANWARE (P.A.)'s NPI number?
MICHELLE MANWARE (P.A.)'s NPI is 1366400541 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MICHELLE MANWARE (P.A.)?
For scheduling context, MICHELLE MANWARE (P.A.) is shown as active in the registry.
What area of care is associated with MICHELLE MANWARE (P.A.)?
MICHELLE MANWARE (P.A.)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE MANWARE (P.A.)?
Directory geography for MICHELLE MANWARE (P.A.) centers on Plymouth, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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