MRS. MARY JANE MCMANUS PMHNP FNP NPI 1316488836

NPI Information

  • NPI: 1316488836
  • Provider Name: MRS. MARY JANE MCMANUS, PMHNP, FNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2111 HIGHWAY 17 S STE 3
    NORTH MYRTLE BEACH, SC
    ZIP 29582
  • Phone: (843) 491-3344

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NPI Details

MRS. Mary Jane Mcmanus, PMHNP, FNP is a psychiatric/mental health nurse practitioner in North Myrtle Beach, SC with 9 years of experience. MRS. Mary Jane Mcmanus, PMHNP, FNP NPI is 1316488836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:2016

The provider's business location address is:

2111 HIGHWAY 17 S STE 3
NORTH MYRTLE BEACH, SC
ZIP 29582-391
Phone: (843) 491-3344
Fax: (843) 491-3399

The NPI 1316488836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 3/16/2017 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health21348SOUTH CAROLINAYes
2363LF0000XNurse PractitionerFamily21348SOUTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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