Manicia Shundreal Liddell, NP
NPI 1568963866ActiveIndividual· Nurse Practitioner· Princeton, MN
Nurse Practitioner (NP) with Belle Chasse Physician Services LLC and 3 other groups, practicing in Princeton, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $47,267 for 332 claims, against $14,978 paid for services in 2024. Lists Healthalliance Hospital Marys Avenue Campus and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1568963866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 22, 2018 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8995 | MN |
| Nurse Practitioner | 363L00000X | 200056 | LA |
| Nurse Practitioner | 363L00000X | 347087 | NY |
| Nurse Practitioner | 363L00000X | LIDD-8T8QP1 | MS |
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 - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (LA); Practitioner - Nurse Practitioner (MN); Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (NY); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 196 across 8 procedure codes |
| Paid by Medicare | $14,978 |
Part D prescriptions in 2024
| Prescriptions (claims) | 332 · 568 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $47,267 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Belle Chasse Physician Services LLCSlidell, LA · 262 clinicians
- New York Medical Physician Associates PCKingston, NY · 202 clinicians
- Methodist Inpatient Physicians LLCGermantown, TN · 128 clinicians
- Greenbrook Physician Services, LLCSouthaven, MS · 72 clinicians
Hospital affiliations
- Healthalliance Hospital Marys Avenue CampusKingston, NY
- Methodist Hospitals of MemphisMemphis, TN
- Ochsner Medical Center AcuteNew Orleans, LA
- Wynn HospitalUtica, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse practitioners in Princeton
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