FAITH A. MANTY APRN, CNP
NPI 1124218102
Nurse Practitioner - Family in Moose Lake, MN
NPI Status: Active since July 26, 2007
Contact Information
4572 COUNTY ROAD 61
MOOSE LAKE, MN
ZIP 55767
Phone: (218) 485-4481
Fax: (218) 485-5866
- Individual
- Female
- Years of Experience 19
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About FAITH MANTY
This page provides the complete NPI Profile along with additional information for Faith Manty, a provider established in Moose Lake, Minnesota with a medical specialization in Nurse Practitioner, focusing in family and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1124218102 assigned on July 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 722 (MN). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1124218102
- Provider Name
- FAITH A. MANTY APRN, CNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767
- Location Phone
- (218) 485-4481
- Location Fax
- (218) 485-5866
- Mailing Address
- 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767
- Mailing Phone
- (218) 485-4481
- Mailing Fax
- (218) 485-5866
- Medical School Name
- OTHER
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2007
- Last Update Date
- 03-26-2020
- Code Navigator
A nurse practitioner (NP) like Faith Manty is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 200 Bunker Hill Dr
Aitkin, MN 56431
(218) 927-2157
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 722
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | R 137363-9 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
894967000 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Faith Manty is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Faith Manty is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 749375277
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070928000384
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscv2 30mcg trs-sucr b
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fee covid-19 vac 13 res
Influenza vaccine split virus, preservative free
Insertion of needle into vein for collection of blood sample
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
This service was performed 11 times for 11 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 26 times for 26 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 17 times for 17 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 105 times for 56 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 22 times for 17 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 33 times for 33 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 19 times for 19 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 86 times for 44 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $24.65 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55767 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Faith Manty is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ESSENTIA HEALTH MOOSE LAKE | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 | (218) 786-1367 | Critical Access Hospitals | |
COMMUNITY MEMORIAL HOSPITAL | 512 SKYLINE BOULEVARD CLOQUET, MN 55720 | (218) 879-4641 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 2 | 4 | 2 | 1 | 8 | 1 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 4 | 4 | 4 | 1 | 16 | 1 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 4 + 4 + 4 + 1 + 1 + 6 + 1 + 0 + 24 = 48 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 48 = 2 | 2 |
The NPI number 1124218102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1942398029 | MOOSE LAKE COMMUNITY HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1245758234 | JAMES ALAN MACH JR. Individual | Nurse Anesthetist, Certified Registered | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1508809930 | MARK CONRAD GREGERSON MD Individual | Orthopaedic Surgery | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1083046387 | MS. APRIL M HANSEN OTR/L Individual | Occupational Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1609494657 | NICHOLAS T ALLARD PT Individual | Physical Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1295353258 | JENNIFER S GANGELHOFF OTR/L Individual | Occupational Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 845-4481 |
1164040176 | ASHLEY I OMAR OTR/L Individual | Occupational Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1134747140 | CLAIRE L ROSEN OTR/L Individual | Occupational Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1750909735 | KERI A HALVERSON CCC/SLP Individual | Speech-Language Pathologist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1598419020 | MS. MEGYN KOLLEEN ALBRECHT PHARMD Individual | Pharmacist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1790165116 | ANDREW AMES M.D. Individual | Family Medicine | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-2105 |
1194498022 | MS. ABBY MARIE SCHULTZ Individual | Physical Medicine & Rehabilitation | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1689016354 | DR. SAMANTHA LUCI LEONARD-NDOMB M.D. Individual | Surgery | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-2015 |
1184253049 | DR. ANDREA KARIN KRATZKE NELSON MD Individual | Family Medicine | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-2015 |
1598768194 | DR. JAMES J. RYAN M.D. Individual | Surgery | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-2105 |
1154959880 | ESSENTIA HEALTH MOOSE LAKE Organization | General Acute Care Hospital (Critical Access) | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1275102048 | ESSENTIA HEALTH MOOSE LAKE Organization | Clinic/Center (Critical Access Hospital) | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-2105 |
1932738218 | ESSENTIA HEALTH MOOSE LAKE Organization | Medicare Defined Swing Bed Unit | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-4481 |
1023551108 | SAMANTHA MARIE JOHNSON DPT Individual | Physical Therapist | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 485-5823 |
1720846033 | MS. GABRIELLE LEA STENSON PA-C Individual | Physician Assistant | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 (218) 785-2015 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124218102, enumerated in the NPI registry as an "individual" on July 26, 2007
The provider is located at 4572 County Road 61 Moose Lake, Mn 55767 and the phone number is (218) 485-4481
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 19 years of experience.
The provider might be accepting Accepts: HealthPartners, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Adm sarscv2 30mcg trs-sucr b, Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fee covid-19 vac 13 res, Influenza vaccine split virus, preservative free and Insertion of needle into vein for collection of blood sample.
The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH MOOSE LAKE and COMMUNITY MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.