Jenny Ann Managbanag, NP
NPI 1558751198ActiveIndividual· Nurse Practitioner· Beloit, WI
Nurse Practitioner (NP) in Beloit, Wisconsin, licensed in WI and IL, with an NPI issued in February 2015. Part D covered 85 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1558751198 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Feb 4, 2015 |
| Last updated in NPPES | Feb 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6250-33 | WI |
| Nurse Practitioner | 363L00000X | 209-012264 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Nurse Practitioner (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 85 · 217 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $449.31 |
| Generic share | 98% of claims |
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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