Stephanie David Mancini, PA-C, ATC
NPI 1174178032ActiveIndividual· Physician Assistant· New London, CT
Physician Assistant (PA-C, ATC) with Northeast Medical Group Inc, practicing in New London, Connecticut. Mostly services rather than prescriptions: Medicare paid $5,269 for 71 patients in 2024, with only 23 Part D claims. Lists Lawrence & Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1174178032 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, ATC |
| Sole proprietor | No |
| NPI issued | Aug 7, 2019 |
| Last updated in NPPES | Oct 22, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6371 | CT |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 003031-1 | NY |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 001582 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 78 across 27 procedure codes |
| Paid by Medicare | $5,269 |
Part D prescriptions in 2024
| Prescriptions (claims) | 23 · 23 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $97.54 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northeast Medical Group IncBridgeport, CT · 1,360 clinicians
Hospital affiliation
- Lawrence & Memorial HospitalNew London, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 46 physician assistants in New London · All physician assistants in Connecticut