Lisette V Manriquez, NP - Medicare Nurse Practitioner in San Ysidro, CA

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Lisette V Manriquez, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Ysidro, California. Her current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to her office (for appointments etc.) via phone at (619) 662-4100.

Lisette V Manriquez is licensed to practice in California (license number NP95021930) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760058911.

Contact Information

Lisette V Manriquez, NP
4004 Beyer Blvd,
San Ysidro, CA 92173-2007
(619) 662-4100
(619) 474-3722

Map and Direction




Provider's Profile

Full NameLisette V Manriquez
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4004 Beyer Blvd, San Ysidro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760058911
  • Provider Enumeration Date: 05/28/2021
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870963531
  • Enrollment ID: I20221221002721

Medical Identifiers

Medical identifiers for Lisette V Manriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760058911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95238600 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health NP95021930 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisette V Manriquez allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756
Entity NameCentro De Salud De La Comunidad De San Ysidro, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124782685
PECOS PAC ID: 6901709435
Enrollment ID: O20040130000711

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisette V Manriquez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisette V Manriquez, NP
4004 Beyer Blvd,
San Ysidro, CA 92173-2007

Ph: (619) 662-4100		Lisette V Manriquez, NP
4004 Beyer Blvd,
San Ysidro, CA 92173-2007

Ph: (619) 662-4100

Reviews and Comments


Nurse Practitioner Nurses in San Ysidro, CA

Balwinder K Shukla,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-205-4585    
Ms. Aurelia Allen, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-205-4585    
Susan Darsann Driscoll, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    Fax: 619-205-6341
Margarita Arvizu,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-205-4585    
Tedayshia Garcia, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    
Maggie Marie Sickles, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    Fax: 619-428-7952
Stephanie Alexander,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1666 Precision Park Ln, San Ysidro, CA 92173
Phone: 619-662-4100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.