Manzanita Mind Institute PLLC
NPI 1174385058 · Psychiatric/Mental Health Nurse Practitioner · Tucson, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Manzanita Mind Institute PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Tucson, AZ (NPI 1174385058).
Provider details
- NPI number
- 1174385058
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jolene Jacquart, Member(510) 230-1065
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-26
- Last updated
- 2024-01-26
- Certified
- 2024-01-20
Frequently asked questions
- What is Manzanita Mind Institute PLLC's NPI number?
- Manzanita Mind Institute PLLC's National Provider Identifier (NPI) is 1174385058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Manzanita Mind Institute PLLC?
- Manzanita Mind Institute PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Manzanita Mind Institute PLLC located?
- Manzanita Mind Institute PLLC's practice location on file with NPPES is 3075 N Swan Rd Ste 206, Tucson, AZ 85712-1259.
- What is Manzanita Mind Institute PLLC's phone number?
- The practice phone number listed in the NPPES registry for Manzanita Mind Institute PLLC is (520) 230-1065.
- Does Manzanita Mind Institute PLLC accept Medicare?
- Manzanita Mind Institute PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Manzanita Mind Institute PLLC?
- The authorized official listed on Manzanita Mind Institute PLLC's NPPES record is Jolene Jacquart, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Manzanita Mind Institute PLLC's NPI active?
- Yes — Manzanita Mind Institute PLLC's NPI (1174385058) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.