Manicia Shundreal Liddell, NP in Princeton, MN

Manicia Shundreal Liddell, NP is a medicare enrolled "Nurse Practitioner" in Princeton, Minnesota. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York Medical Physician Associates Pc, Belle Chasse Physician Services Llc, Greenbrook Physician Services, Llc, Apogee Medical Group, Louisiana, Inc. and her current practice location is 911 Northland Dr, Princeton, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 389-1313.

Manicia Shundreal Liddell is licensed to practice in Minnesota (license number 8995) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568963866.

Contact Information

	Manicia Shundreal Liddell, NP
	911 Northland Dr, Princeton, MN 55371-2172
	(763) 389-1313
	Not Available

Map and Direction

Provider's Profile

Full Name	Manicia Shundreal Liddell
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	911 Northland Dr, Princeton, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Manicia Shundreal Liddell graduated from nursing school in 2025

NPI Data:

NPI Number: 1568963866
Provider Enumeration Date: 02/22/2018
Last Update Date: 03/13/2026

Medicare PECOS Information:

PECOS PAC ID: 3779829908
Enrollment ID: I20230725003848

Medical Identifiers

Medical identifiers for Manicia Shundreal Liddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568963866	NPI	-	NPPES
LIDD-8T8QP1	Other	MS	ADVANCED NURSING LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	200056 (Louisiana)	Secondary
363L00000X	Nurse Practitioner	8995 (Minnesota)	Primary
363L00000X	Nurse Practitioner	347087 (New York)	Secondary
363L00000X	Nurse Practitioner	LIDD-8T8QP1 (Mississippi)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Clinic Foundation	New orleans, LA	Hospital
Healthalliance Hospital Marys Avenue Campus	Kingston, NY	Hospital
Faxton-st Luke's Healthcare	Utica, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York Medical Physician Associates Pc	6709226350	214
Belle Chasse Physician Services Llc	9335379379	271
Greenbrook Physician Services, Llc	5597267427	66
Apogee Medical Group, Louisiana, Inc.	8527116193	33

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. Manicia Shundreal Liddell allows following entities to bill medicare on her behalf.

Entity Name	Mvhs Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433

Entity Name	New York Medical Physician Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578316501 PECOS PAC ID: 6709226350 Enrollment ID: O20240430000132

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. Manicia Shundreal Liddell 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 Address	Practice Location Address
Manicia Shundreal Liddell, NP 911 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-1313	Manicia Shundreal Liddell, NP 911 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-1313

Reviews and Comments

Nurse Practitioner Nurses in Princeton, MN

James John Martineau, RN, MSN, FNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 7th Ave S, Express Clinic, Princeton, MN 55371 Phone: 763-389-5207 Fax: 763-389-4138
Cynthia D Loehlein, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344
Yvette Miller, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31137 131st St, Princeton, MN 55371 Phone: 763-238-3142
Victoria Sergeyevna Noble, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344
Linda M Baumann, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Northland Drive, Princeton, MN 55371 Phone: 763-389-3344

Manicia Shundreal Liddell, NP - Medicare Nurse Practitioner in Princeton, MN