FAITH A. MANTY (APRN, CNP) – Family Nurse Practitioner, NPI 1124218102
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for FAITH A. MANTY (APRN, CNP)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 557679401
Phone: (218) 485-4481
Fax: (218) 485-5866
Type: Mailing
200 Bunker Hill Dr
Aitkin, MN 564311865
Phone: (218) 927-2157
Fax: (218) 927-5319
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: 2007-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20070928000384 | I | Nurse Practitioner | MN | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 104 | 56 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 76 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 15 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55767)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MN | 85610 | Blood test, clotting time | 102 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN |
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