MARIO GAVAN MANACCI (RN, BSN) – Acute Care Nurse Practitioner, NPI 1235609934

MARIO GAVAN MANACCI (RN, BSN) is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, BSN. They hold a License No. RN.428670 (OH). The NPI Number for MARIO GAVAN MANACCI (RN, BSN) is 1235609934

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MARIO GAVAN MANACCI (RN, BSN)
NPI
1235609934
Phone
(440) 708-4721
Address
11100 Euclid Ave
Enumeration Date
26 November 2018
Last Update Date
6 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2019 (7 years ago)
PAC ID
3678815784
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190419000525
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MARIO GAVAN MANACCI (RN, BSN)

  • 11100 Euclid Ave

    Cleveland, OH 441061716

    Phone: (440) 708-4721

    Type: Location

  • 17819 AUBURN RD

    CHAGRIN FALLS, OH 440236130

    Phone: (440) 708-4721

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    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: 2019-04-19

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
I20190419000525INurse PractitionerOHTBD

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
99291Critical care, first 30-74 minutes2525$0
36410Insertion of needle into vein (3 years or older)2218$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 44106)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

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Frequently asked questions

What number should I use to identify MARIO GAVAN MANACCI (RN, BSN) for billing?
Administrative and clinical systems typically use NPI 1235609934 for MARIO GAVAN MANACCI (RN, BSN).
Should I treat MARIO GAVAN MANACCI (RN, BSN) as an active provider?
Patients and plans typically see MARIO GAVAN MANACCI (RN, BSN) as active in the national extract.
What services align with MARIO GAVAN MANACCI (RN, BSN)'s listing?
MARIO GAVAN MANACCI (RN, BSN)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MARIO GAVAN MANACCI (RN, BSN) in Cleveland, Ohio?
For routing, start with Cleveland, Ohio for MARIO GAVAN MANACCI (RN, BSN), then verify phone and hours locally.
Can I export MARIO GAVAN MANACCI (RN, BSN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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