Carlie Rose Manchester, PA-C
NPI 1336637669ActiveIndividual· Physician Assistant· Bridgeport, CT
Physician Assistant (PA-C) with Poudre Valley Medical Group LLC, practicing in Bridgeport, Connecticut. Mostly services rather than prescriptions: Medicare paid $4,738 for 37 patients in 2024, with only 29 Part D claims. Abiomed reported $196.64 in payments in 2025, mostly food and beverage. Lists Medical Center of the Rockies as a hospital affiliation.
Overview
| NPI | 1336637669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 23, 2018 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9111148 | FL |
| Physician Assistant | 363A00000X | PA.0008541 | CO |
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 (CO); Practitioner - Physician Assistant (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 53 across 8 procedure codes |
| Paid by Medicare | $4,738 |
Part D prescriptions in 2024
| Prescriptions (claims) | 29 · 37 30-day fills |
|---|---|
| Total drug cost | $1,923 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliation
- Medical Center of the RockiesLoveland, CO
Industry payments (Open Payments)
- 2025$196.64 · 2 payments from 1 company
- 2024$46.38 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $196.64 | 2 |
What the 2025 payments were for
- Food and Beverage$196.64 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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