MRS. AMANDA MANNO – Certified Registered Nurse Anesthetist, NPI 1114367182

MRS. AMANDA MANNO is a healthcare provider. based in Wisconsin rapids, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 195903-30 (WI). The NPI Number for MRS. AMANDA MANNO is 1114367182

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA MANNO
NPI
1114367182
Phone
(715) 869-2551
Address
410 DEWEY ST
Enumeration Date
4 July 2013
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192914491
Graduation Year
2013 (13 years ago)
PAC ID
6901030303
Group Practice PAC ID
7012902265
Professional Enrollment ID
I20190315001241
Address ID
MI492218318AD5640XHWYX400

Contacts

Secure Messaging
amanno151867@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for MRS. AMANDA MANNO

  • 410 DEWEY ST

    WISCONSIN RAPIDS, WI 544944715

    Phone: (715) 869-2551

    Type: Location

  • 375 RIVER ST

    MANISTEE, MI 496602729

    Phone: (231) 398-1957

    Type: Mailing

  • 718 N MACOMB ST

    MONROE, MI 481627815

    Phone: (734) 240-5238

    Fax: (734) 240-2573

    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: 2019-03-15

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
I20190315001241ICertified Registered Nurse Anesthetist (Crna)MITBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2520$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 54494)

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Provider's Procedures

MRS. AMANDA MANNO performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00790Anesthesia for procedure in upper abdomen including use of an endoscope1313

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: 7012902265View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is there an official ID for MRS. AMANDA MANNO in U.S. healthcare records?
The official identifier for MRS. AMANDA MANNO is NPI 1114367182.
Would MRS. AMANDA MANNO appear as active to a payer?
You can treat MRS. AMANDA MANNO as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. AMANDA MANNO?
MRS. AMANDA MANNO is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. AMANDA MANNO?
Travel planning: use Wisconsin Rapids, Wisconsin as the reference point for MRS. AMANDA MANNO, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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